Provider Demographics
NPI:1205924958
Name:MEEKS, STEVEN A (DC,)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:MEEKS
Suffix:
Gender:M
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:FLORA
Mailing Address - State:IN
Mailing Address - Zip Code:46929-1410
Mailing Address - Country:US
Mailing Address - Phone:574-967-4900
Mailing Address - Fax:574-967-4900
Practice Address - Street 1:701 E COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:FLORA
Practice Address - State:IN
Practice Address - Zip Code:46929-1410
Practice Address - Country:US
Practice Address - Phone:574-967-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001219A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100089050AMedicaid
INT06554Medicare UPIN
IN150850Medicare ID - Type Unspecified