MEDICARE: DR. NANCY LYNN MEYER 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	0104001258	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00960997	OTHER	VA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	034967	OTHER	VA	ANTHEM BCBS

General Provider Information

NPI Number	:	1639280258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY LYNN MEYER D.C.

Provider Business Mailing Address
First Line	:	PO BOX 21791
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-0181
Country	:	US
Telephone Number	:	540-819-6817
Fax Number	:	540-301-1398

Provider Business Practice Location Address
First Line	:	4903 STARKEY RD STE 200A
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-8525
Country	:	US
Telephone Number	:	540-819-6817
Fax Number	:	540-301-1398

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/05/2019

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