MEDICARE: DR. MICHAEL KIRK MEIER D.C.

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	DC22410	CA

General Provider Information

NPI Number	:	1497994362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL KIRK MEIER D.C.

Provider Business Mailing Address
First Line	:	37467 FREMONT BLVD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-3704
Country	:	US
Telephone Number	:	510-713-7117
Fax Number	:	510-623-1740

Provider Business Practice Location Address
First Line	:	37467 FREMONT BLVD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-3704
Country	:	US
Telephone Number	:	510-713-7117
Fax Number	:	510-623-1740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2009
Last Update Date	:	02/16/2009

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