Provider Demographics
NPI:1144574302
Name:JULIE MEYERS DC
Entity Type:Organization
Organization Name:JULIE MEYERS DC
Other - Org Name:LIVEWELL CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-343-4094
Mailing Address - Street 1:235 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:IA
Mailing Address - Zip Code:52722-5704
Mailing Address - Country:US
Mailing Address - Phone:563-343-4094
Mailing Address - Fax:
Practice Address - Street 1:3456 HOLIDAY CT
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3551
Practice Address - Country:US
Practice Address - Phone:563-343-4094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06506111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty