Provider Demographics
NPI:1437620275
Name:DR FRASIER D MEYER DC LLC
Entity Type:Organization
Organization Name:DR FRASIER D MEYER DC LLC
Other - Org Name:ON THE GO CHIRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRASIER
Authorized Official - Middle Name:D
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-963-0056
Mailing Address - Street 1:16530 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:BASEHOR
Mailing Address - State:KS
Mailing Address - Zip Code:66007-7142
Mailing Address - Country:US
Mailing Address - Phone:913-963-0056
Mailing Address - Fax:
Practice Address - Street 1:16530 STATE AVE
Practice Address - Street 2:
Practice Address - City:BASEHOR
Practice Address - State:KS
Practice Address - Zip Code:66007-7142
Practice Address - Country:US
Practice Address - Phone:913-963-0056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty