Provider Demographics
NPI:1609395300
Name:MEAGAN HINZMAN CHIROPRACTIC AND WELLNESS, L.L.C.
Entity Type:Organization
Organization Name:MEAGAN HINZMAN CHIROPRACTIC AND WELLNESS, L.L.C.
Other - Org Name:FORZA CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEAGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HINZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-875-2397
Mailing Address - Street 1:224 HUNTERS POINTE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7134
Mailing Address - Country:US
Mailing Address - Phone:636-875-2397
Mailing Address - Fax:
Practice Address - Street 1:173 LONG RD STE 100
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1255
Practice Address - Country:US
Practice Address - Phone:314-960-9886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017031984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty