Individual
DR. SHAWN MICHAEL MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.N., PMMTP
Contact information
Practice address
4110 N SCOTTSDALE RD STE 215, SCOTTSDALE, AZ 85251-3635
(480) 609-4244
Mailing address
4110 N SCOTTSDALE RD STE 215, SCOTTSDALE, AZ 85251-3635
(480) 609-4244
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
7589
AZ
225400000X
Rehabilitation Practitioner
Primary
4276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202901918
FEDERAL TAX ID
AZ
01
—
AZ0945690
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
04/18/2006
Last updated
07/21/2022
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