Healthcare Provider Details

I. General information

NPI: 1265480396
Provider Name (Legal Business Name): ERIC MEYER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1327 18TH STREET NW
WASHINGTON DC
20036
US

IV. Provider business mailing address

9301 JAN STREET
MANASSAS PARK VA
20111
US

V. Phone/Fax

Practice location:
  • Phone: 202-785-2400
  • Fax: 202-452-1853
Mailing address:
  • Phone: 703-368-8879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH30016
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: