MEDICARE: MEYLOR CHIROPRACTIC OFFICES P.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	1591	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5640	OTHER	NY	PARTNERS
2	5771084	OTHER	NC	AETNA
3	08626	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1982718540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEYLOR CHIROPRACTIC OFFICES P.C.

Provider Business Mailing Address
First Line	:	306 MUIRS CHAPEL RD STE A
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-6178
Country	:	US
Telephone Number	:	336-852-2222
Fax Number	:	336-852-4844

Provider Business Practice Location Address
First Line	:	306 MUIRS CHAPEL RD STE A
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-6178
Country	:	US
Telephone Number	:	336-852-2222
Fax Number	:	336-852-4844

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DEAN EDWARD MEYLOR
Credential	:	D.C.
Telephone Number	:	336-852-2222

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	08/22/2020

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