Provider Demographics
NPI:1033246996
Name:MEAGHER, CHERYL M H (D C)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:M H
Last Name:MEAGHER
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4010 W 65TH ST
Mailing Address - Street 2:SUITE 217
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-1721
Mailing Address - Country:US
Mailing Address - Phone:952-929-3602
Mailing Address - Fax:952-929-4269
Practice Address - Street 1:4010 W 65TH ST
Practice Address - Street 2:SUITE 217
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1721
Practice Address - Country:US
Practice Address - Phone:952-929-3602
Practice Address - Fax:952-929-4269
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3131111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3C871 HOOtherBLUECROSSBLUESHIELD
MNU47421Medicare UPIN