Healthcare Provider Details

I. General information

NPI: 1255745394
Provider Name (Legal Business Name): MEGAN MCGOVERN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 CLAYTON ST
DORCHESTER MA
02122-2737
US

IV. Provider business mailing address

4 WILDFLOWER RD
LEOMINSTER MA
01453-1774
US

V. Phone/Fax

Practice location:
  • Phone: 855-873-2244
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3462
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: