Individual
MS. MEGHAN ANN CUSTER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4422 IVY COMMONS, CHARLOTTESVILLE, VA 22903-7123
(434) 817-3666
Mailing address
4422 IVY COMMONS, CHARLOTTESVILLE, VA 22903-7123
(434) 825-5717
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104002067
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011082000
SOUTHERN HEALTH
VA
01
—
1914401229
MAIL HANDLERS
VA
01
—
293442
MAMSI/ ALLIANCE
VA
01
—
451931
ANTHEM
VA
01
—
700027234
CIGNA
VA
Enumeration date
05/23/2005
Last updated
10/27/2014
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