Provider Demographics
NPI:1184839946
Name:MEYER HIGH PERFORMANCE CHIROPRACTIC, PLC
Entity Type:Organization
Organization Name:MEYER HIGH PERFORMANCE CHIROPRACTIC, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-342-1321
Mailing Address - Street 1:1824 N OLD US 23
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-7192
Mailing Address - Country:US
Mailing Address - Phone:248-342-1321
Mailing Address - Fax:810-632-2060
Practice Address - Street 1:1824 N OLD US 23
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-7192
Practice Address - Country:US
Practice Address - Phone:248-342-1321
Practice Address - Fax:810-632-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty