Healthcare Provider Details

I. General information

NPI: 1265593289
Provider Name (Legal Business Name): JOHN ANTHONY MEECHAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4974 TRANSIT RD
DEPEW NY
14043-4616
US

IV. Provider business mailing address

28 GRAVES CRESENT
ST. CATHARINES ONTARIO
L2S 3Z6
CA

V. Phone/Fax

Practice location:
  • Phone: 716-685-9631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number011299
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: