Provider Demographics
NPI:1578661450
Name:MEYERS, PAUL EDWARD (DC)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:EDWARD
Last Name:MEYERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:170 COMMON ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1558
Mailing Address - Country:US
Mailing Address - Phone:978-686-7900
Mailing Address - Fax:978-688-8811
Practice Address - Street 1:170 COMMON ST
Practice Address - Street 2:SUITE 105
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1558
Practice Address - Country:US
Practice Address - Phone:978-686-7900
Practice Address - Fax:978-688-8811
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0023881OtherNEIGHBORHOOD HEALTH PLAN
MA1603744OtherMASS HEALTH
29748OtherFALLON COMMUNITY HEALTH
614088OtherUNITED HEALTHCARE
9828899OtherCIGNA HEALTH CARE
MA614946OtherTUFTS HEALTH PLANS
MAAA47876OtherHARVARD PILGRIM HEALTH
MAY35696OtherBC/BS OF MASSACHUSETTS
9828899OtherCIGNA HEALTH CARE
MAY35696OtherBC/BS OF MASSACHUSETTS