Provider Demographics
NPI:1821758483
Name:VILLNAVE, MEGHAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:VILLNAVE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1879 ROCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:NY
Mailing Address - Zip Code:14485-9501
Mailing Address - Country:US
Mailing Address - Phone:585-582-1866
Mailing Address - Fax:585-582-1017
Practice Address - Street 1:1879 ROCHESTER ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:NY
Practice Address - Zip Code:14485-9501
Practice Address - Country:US
Practice Address - Phone:585-582-1866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-23
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor