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NPI Code Detail

MEDICARE: DR. MICHELLE MEINHOLZ D.C.

MEDICARE: DR. MICHELLE MEINHOLZ D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor6101CO

General Provider Information

NPI Number : 1043402654
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE MEINHOLZ D.C.
Provider Business Mailing Address
First Line : 260 E HORSETOOTH RD STE 104
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3619
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 260 E HORSETOOTH RD STE 104
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3619
Country : US
Telephone Number : 970-223-2866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2007
Last Update Date : 08/16/2007

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