MEDICARE: MCNEIL FAMILY CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	6712	CO

General Provider Information

NPI Number	:	1144656174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCNEIL FAMILY CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	13659 E 104TH AVE
Second Line	:	SUITE 600A
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-9402
Country	:	US
Telephone Number	:	303-912-3714
Fax Number	:

Provider Business Practice Location Address
First Line	:	13659 E 104TH AVE
Second Line	:	SUITE 600A
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-9402
Country	:	US
Telephone Number	:	303-912-3714
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. MEGHAN MCNEIL
Credential	:	D.C.
Telephone Number	:	303-912-3714

Provider Enumeration Date	:	09/23/2013
Last Update Date	:	09/23/2013

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