Provider Demographics
NPI:1861468332
Name:MEYER, JENNIFER DAWN (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:DAWN
Last Name:MEYER
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 1:1428 W VILLARD ST
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-4648
Mailing Address - Country:US
Mailing Address - Phone:701-483-6917
Mailing Address - Fax:701-483-6916
Practice Address - Street 1:1428 W VILLARD ST
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-4648
Practice Address - Country:US
Practice Address - Phone:701-483-6917
Practice Address - Fax:701-483-6916
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
ND751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND13577Medicaid
NDV05766Medicare UPIN
ND13577Medicaid