MEDICARE: DR. LAYTON WILLIAM MERITHEW DC

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	111N00000X	Chiropractor	0104000677	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051286	OTHER	VA	ANTHEM
2	67621	OTHER	VA	CIGNA
3	460091	OTHER	VA	ANTHEM HEALTHKEEPERS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548266729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAYTON WILLIAM MERITHEW DC

Provider Business Mailing Address
First Line	:	6091 GEORGE WASHINGTON MEMORIAL HWY
Second Line	:
City	:	GLOUCESTER
State	:	VA
Zip	:	23061-3750
Country	:	US
Telephone Number	:	804-693-0093
Fax Number	:	804-693-6311

Provider Business Practice Location Address
First Line	:	6091 GEORGE WASHINGTON MEMORIAL HWY
Second Line	:
City	:	GLOUCESTER
State	:	VA
Zip	:	23061-3750
Country	:	US
Telephone Number	:	804-693-0093
Fax Number	:	804-693-6311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	02/11/2010

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