Provider Demographics
NPI:1740217173
Name:MEYER, ROBERT H (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
Last Name:MEYER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12021 PENNSYLVANIA ST
Mailing Address - Street 2:#107
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3150
Mailing Address - Country:US
Mailing Address - Phone:303-465-4442
Mailing Address - Fax:303-465-4443
Practice Address - Street 1:12021 PENNSYLVANIA ST
Practice Address - Street 2:#107
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3150
Practice Address - Country:US
Practice Address - Phone:303-465-4442
Practice Address - Fax:303-465-4443
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2460111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U55639Medicare UPIN
CO23843Medicare PIN