Provider Demographics
NPI:1578848883
Name:MEIS CHIROPRACTIC PA
Entity Type:Organization
Organization Name:MEIS CHIROPRACTIC PA
Other - Org Name:DR CONNIE'S CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MEIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-384-5423
Mailing Address - Street 1:6005 MARTWAY ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3374
Mailing Address - Country:US
Mailing Address - Phone:913-384-5423
Mailing Address - Fax:
Practice Address - Street 1:6005 MARTWAY ST
Practice Address - Street 2:SUITE 106
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3374
Practice Address - Country:US
Practice Address - Phone:913-384-5423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04291111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
871559OtherFIRST HEALTH
KS0009207OtherMEDICARE
KS5486193OtherAETNA
KS146711OtherCOVENTRY
KS22336011OtherBLUE CROSS BLUE SHIELD OF KC