Provider Demographics
NPI:1164785283
Name:SOCHA, MEGAN L (DC)
Entity Type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:L
Last Name:SOCHA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4107 BROWNS LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1535
Mailing Address - Country:US
Mailing Address - Phone:502-437-7007
Mailing Address - Fax:844-729-1988
Practice Address - Street 1:4107 BROWNS LN STE B
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1535
Practice Address - Country:US
Practice Address - Phone:502-434-7007
Practice Address - Fax:844-729-1988
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor