Healthcare Provider Details

I. General information

NPI: 1235038530
Provider Name (Legal Business Name): DR. MEGHAN ELIZABETH ERICKSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2026
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1834 S STEWART AVE
SPRINGFIELD MO
65804-2519
US

IV. Provider business mailing address

1834 S STEWART AVE
SPRINGFIELD MO
65804-2519
US

V. Phone/Fax

Practice location:
  • Phone: 417-883-1141
  • Fax: 417-889-6627
Mailing address:
  • Phone: 417-883-1141
  • Fax: 417-889-6627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026051634
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: