Individual
DR. SHAWN MICHAEL MEYER
Active
Individual
DR. SHAWN MICHAEL MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.N., PMMTP
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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