Provider Demographics
NPI:1144584152
Name:MEYERS, MATTHEW ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ROBERT
Last Name:MEYERS
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 1:1 N WATER ST UNIT 327
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-2325
Mailing Address - Country:US
Mailing Address - Phone:203-913-0169
Mailing Address - Fax:
Practice Address - Street 1:221 POST RD W
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4653
Practice Address - Country:US
Practice Address - Phone:203-557-6569
Practice Address - Fax:203-557-6566
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor