Provider Demographics
NPI:1497931505
Name:DR ROBERT L MEINDERS DC LTD
Entity Type:Organization
Organization Name:DR ROBERT L MEINDERS DC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MEINDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-234-5200
Mailing Address - Street 1:5206 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-4731
Mailing Address - Country:US
Mailing Address - Phone:618-234-5200
Mailing Address - Fax:618-234-4400
Practice Address - Street 1:5206 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-4731
Practice Address - Country:US
Practice Address - Phone:618-234-5200
Practice Address - Fax:618-234-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038003655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL791350646OtherMEDICARE RAILROAD
IL8769885OtherCIGNA
IL038003655Medicaid
IL179566OtherHEALTHLINK PPO AND HMO
IL628035OtherAMERICAN CHIROPRACTIC NETWORK
IL08282011OtherBLUE CROSS BLUE SHIELD
IL232770Medicare PIN