MEDICARE: MELER CHIROPRACTIC CLINIC P.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
1	302F00000X	Exclusive Provider Organization	1560	AL

General Provider Information

NPI Number	:	1538429139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELER CHIROPRACTIC CLINIC P.C.

Provider Business Mailing Address
First Line	:	923 S BROAD ST
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-2509
Country	:	US
Telephone Number	:	256-574-2000
Fax Number	:	256-574-2010

Provider Business Practice Location Address
First Line	:	923 S BROAD ST
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-2509
Country	:	US
Telephone Number	:	256-574-2000
Fax Number	:	256-574-2010

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CINDY L MELER-MICK
Credential	:	DC
Telephone Number	:	256-574-2000

Provider Enumeration Date	:	05/17/2012
Last Update Date	:	05/25/2012

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