Healthcare Provider Details

I. General information

NPI: 1881889921
Provider Name (Legal Business Name): MEGHAN JOHN CORPORATION THE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 MAIN STREET
SUMITON AL
35148
US

IV. Provider business mailing address

PO BOX 656
SUMITON AL
35148-0656
US

V. Phone/Fax

Practice location:
  • Phone: 205-648-2660
  • Fax: 205-648-2886
Mailing address:
  • Phone: 205-648-2660
  • Fax: 205-648-2886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number1563/265AL
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number1563/265AL
License Number StateAL

VIII. Authorized Official

Name: DR. JOHN DOUGLAS BROWN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 205-648-2660