Provider Demographics
NPI:1326102955
Name:MEYER CHIROPRACTIC CLINIC, P.C.
Entity Type:Organization
Organization Name:MEYER CHIROPRACTIC CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-222-1911
Mailing Address - Street 1:2020 GRAND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-4291
Mailing Address - Country:US
Mailing Address - Phone:515-222-1911
Mailing Address - Fax:515-222-1912
Practice Address - Street 1:2020 GRAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-4291
Practice Address - Country:US
Practice Address - Phone:515-222-1911
Practice Address - Fax:515-222-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA5441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1034124Medicaid
IA45926Medicare UPIN