Provider Demographics
NPI:1891306338
Name:FISHER, MEREDITH (DC)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:
Last Name:FISHER
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 1:1340 CORPORATE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-4444
Mailing Address - Country:US
Mailing Address - Phone:234-284-8002
Mailing Address - Fax:
Practice Address - Street 1:1340 CORPORATE DR STE 300
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-4444
Practice Address - Country:US
Practice Address - Phone:234-284-8002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor