Provider Demographics
NPI:1700932605
Name:MEIGS CHIROPRACTIC LTD
Entity Type:Organization
Organization Name:MEIGS CHIROPRACTIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-992-2168
Mailing Address - Street 1:963 GENERAL HARTINGER PKWY
Mailing Address - Street 2:
Mailing Address - City:MIDDLEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:45760-1281
Mailing Address - Country:US
Mailing Address - Phone:740-992-2168
Mailing Address - Fax:740-992-4530
Practice Address - Street 1:963 GENERAL HARTINGER PKWY
Practice Address - Street 2:
Practice Address - City:MIDDLEPORT
Practice Address - State:OH
Practice Address - Zip Code:45760-1281
Practice Address - Country:US
Practice Address - Phone:740-992-2168
Practice Address - Fax:740-992-4530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2465111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2016580Medicaid
OH9321001Medicare ID - Type Unspecified
OH2016580Medicaid