Healthcare Provider Details
I. General information
NPI: 1033627864
Provider Name (Legal Business Name): CHARLOTTE MEIER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/15/2018
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7259 LANSDOWNE AVE # 400
SAINT LOUIS MO
63119-3402
US
IV. Provider business mailing address
8816 MANCHESTER RD # 202
SAINT LOUIS MO
63144-2602
US
V. Phone/Fax
- Phone: 314-312-2686
- Fax:
- Phone: 314-520-9442
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2018000930 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: