Provider Demographics
NPI:1902033178
Name:MEADOWLAND HEALING ARTS PLLC
Entity Type:Organization
Organization Name:MEADOWLAND HEALING ARTS PLLC
Other - Org Name:MEADOWLAND CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-443-6861
Mailing Address - Street 1:300 WASHINGTON ST
Mailing Address - Street 2:STE 4
Mailing Address - City:ALEXANDRIA
Mailing Address - State:KY
Mailing Address - Zip Code:41001-1282
Mailing Address - Country:US
Mailing Address - Phone:859-635-6800
Mailing Address - Fax:859-635-6801
Practice Address - Street 1:300 WASHINGTON ST
Practice Address - Street 2:STE 4
Practice Address - City:ALEXANDRIA
Practice Address - State:KY
Practice Address - Zip Code:41001-1282
Practice Address - Country:US
Practice Address - Phone:763-443-6861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5118111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty