Individual
DR. ROLAND W MEFFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
803 8TH ST, NITRO, WV 25143-1909
(304) 755-4111
(304) 755-4131
Mailing address
803 8TH ST, NITRO, WV 25143-1909
(304) 755-4111
(304) 755-4131
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
627
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710718
BCBS ID NUMBER
WV
05
—
0132066000
—
WV
01
—
296509
MAMSI ID NUMBER
WV
Enumeration date
11/03/2006
Last updated
07/09/2007
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