Provider Demographics
NPI:1417368986
Name:MEYER, CHELSEA ALLISON (DO)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ALLISON
Last Name:MEYER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 FAR WEST DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3514
Mailing Address - Country:US
Mailing Address - Phone:816-271-8182
Mailing Address - Fax:816-271-0818
Practice Address - Street 1:105 FAR WEST DR STE 201
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3514
Practice Address - Country:US
Practice Address - Phone:816-271-8182
Practice Address - Fax:816-271-0818
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-18
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9560108-12042084N0400X
390200000X
MO20190291092084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program