Provider Demographics
NPI:1760618797
Name:MEEKS, EMMA MEGAN (DC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:MEGAN
Last Name:MEEKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:MEEKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:10807 BIG BEND RD
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-6054
Mailing Address - Country:US
Mailing Address - Phone:314-757-4633
Mailing Address - Fax:314-909-1605
Practice Address - Street 1:10807 BIG BEND RD
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-6054
Practice Address - Country:US
Practice Address - Phone:314-757-4633
Practice Address - Fax:314-909-1605
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009011854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor