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Individual

DR. AUDREY E MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
19A HAINES ST, NEWARK, DE 19711-4610
(302) 832-7000
Mailing address
19A HAINES ST, NEWARK, DE 19711-4610
(302) 832-7000

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00659100
NJ
111N00000X
Chiropractor
AJ009601
PA
111N00000X
Chiropractor
Primary
F10000671
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629083282
GROUP NPI
DE
01
721564372
TAX ID#
DE
Enumeration date
10/18/2006
Last updated
05/16/2008
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