Provider Demographics
NPI:1326164344
Name:DR RICHARD D MYERS LTD
Entity Type:Organization
Organization Name:DR RICHARD D MYERS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-762-8737
Mailing Address - Street 1:1722 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-1877
Mailing Address - Country:US
Mailing Address - Phone:717-762-8737
Mailing Address - Fax:717-762-1881
Practice Address - Street 1:1722 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-1877
Practice Address - Country:US
Practice Address - Phone:717-762-8737
Practice Address - Fax:717-762-1881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003400L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMY119651OtherBLUE SHIELD
PAM487OtherCAREFIRST BC BS OF MD
PAM487OtherCAREFIRST BC BS OF MD
PAT29225Medicare UPIN