Provider Demographics
NPI:1174138812
Name:MERIDIAN CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:MERIDIAN CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-340-1606
Mailing Address - Street 1:1 SAINT MARK ST STE B
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-3255
Mailing Address - Country:US
Mailing Address - Phone:774-530-6301
Mailing Address - Fax:774-389-0333
Practice Address - Street 1:1 SAINT MARK ST STE B
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-3255
Practice Address - Country:US
Practice Address - Phone:774-530-6301
Practice Address - Fax:774-389-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty