Provider Demographics
NPI:1245699966
Name:MEYER CHIROPRACTIC PC
Entity type:Organization
Organization Name:MEYER CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-521-8337
Mailing Address - Street 1:612 NE 4TH ST
Mailing Address - Street 2:APT 1
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-2208
Mailing Address - Country:US
Mailing Address - Phone:641-521-8337
Mailing Address - Fax:
Practice Address - Street 1:1129 6TH ST
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:IA
Practice Address - Zip Code:50201-1827
Practice Address - Country:US
Practice Address - Phone:515-382-2225
Practice Address - Fax:515-382-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007406111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty