Provider Demographics
NPI:1417202995
Name:MEYER CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:MEYER CHIROPRACTIC, LLC
Other - Org Name:PRAIRIELAND FAMILY CHIROPRACTIC & WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-440-7033
Mailing Address - Street 1:1006 24TH PL
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-1204
Mailing Address - Country:US
Mailing Address - Phone:308-440-7033
Mailing Address - Fax:
Practice Address - Street 1:1006 24TH PL
Practice Address - Street 2:
Practice Address - City:GOTHENBURG
Practice Address - State:NE
Practice Address - Zip Code:69138-1204
Practice Address - Country:US
Practice Address - Phone:308-440-7033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty