MEDICARE: DR. DANIEL J MEININGER 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	MA2002	MA

General Provider Information

NPI Number	:	1740330141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL J MEININGER D.C.

Provider Business Mailing Address
First Line	:	33 LYMAN ST STE 103B
Second Line	:
City	:	WESTBOROUGH
State	:	MA
Zip	:	01581-5403
Country	:	US
Telephone Number	:	508-898-2228
Fax Number	:	508-366-2633

Provider Business Practice Location Address
First Line	:	33 LYMAN ST STE 103B
Second Line	:
City	:	WESTBOROUGH
State	:	MA
Zip	:	01581-5403
Country	:	US
Telephone Number	:	508-898-2228
Fax Number	:	508-366-2633

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/08/2007

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