Provider Demographics
NPI:1760529671
Name:MYERS ENTERPRISES
Entity Type:Organization
Organization Name:MYERS ENTERPRISES
Other - Org Name:JAMES CHIROPRACTIC AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCNEELY
Authorized Official - Suffix:
Authorized Official - Credentials:CTA
Authorized Official - Phone:901-752-8883
Mailing Address - Street 1:830 N GERMANTOWN PKWY
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6265
Mailing Address - Country:US
Mailing Address - Phone:901-752-8883
Mailing Address - Fax:901-752-8843
Practice Address - Street 1:830 N GERMANTOWN PKWY
Practice Address - Street 2:SUITE 109
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6265
Practice Address - Country:US
Practice Address - Phone:901-752-8883
Practice Address - Fax:901-752-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4069895OtherBLUE CROSS BLUE SHIELD
TN6764463OtherCIGNA HEALTHCARE
TN7954505OtherAETNA
TN3970919Medicare PIN
TN6764463OtherCIGNA HEALTHCARE