Provider Demographics
NPI:1124026463
Name:MEIER, MICHAEL LOUIS (DC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:LOUIS
Last Name:MEIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 SE EVERETT MALL WAY
Mailing Address - Street 2:STE C319
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-3753
Mailing Address - Country:US
Mailing Address - Phone:425-252-2744
Mailing Address - Fax:855-562-6981
Practice Address - Street 1:909 SE EVERETT MALL WAY
Practice Address - Street 2:STE C319
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3753
Practice Address - Country:US
Practice Address - Phone:425-252-2744
Practice Address - Fax:855-562-6981
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA252-02 0002561111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA12120OtherAMERICAN WHOLE HEALTH NET
WA2013530Medicaid
WA55217OtherDEPT LABOR AND INDUSTRIES
WA317728-001OtherGROUP HEALTH
WAME0045OtherREGENCE BLUE SHIELD