Provider Demographics
NPI:1639472053
Name:MEEK CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:MEEK CHIROPRACTIC LLC
Other - Org Name:ROY D MEEK
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MEEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:417-624-1300
Mailing Address - Street 1:2928 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-2639
Mailing Address - Country:US
Mailing Address - Phone:417-624-1300
Mailing Address - Fax:417-781-2750
Practice Address - Street 1:2928 S MAIN ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-2639
Practice Address - Country:US
Practice Address - Phone:417-624-1300
Practice Address - Fax:417-781-2750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO4492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA3004Medicare PIN
T43382Medicare UPIN