Provider Demographics
NPI:1568757995
Name:ROSCO, MEREDITH ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:ANN
Last Name:ROSCO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MERI
Other - Middle Name:ANN
Other - Last Name:ROSCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:20723 TORRENCE CHAPEL RD
Mailing Address - Street 2:STE 201
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6399
Mailing Address - Country:US
Mailing Address - Phone:704-895-2240
Mailing Address - Fax:704-765-4077
Practice Address - Street 1:173 RUSTWOOD LN
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8030
Practice Address - Country:US
Practice Address - Phone:203-994-4541
Practice Address - Fax:203-724-0383
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012032111N00000X
NC4535111N00000X
CT001884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor