Provider Demographics
NPI:1144799891
Name:MEEKS, HEATHER LUCILLE (DC)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LUCILLE
Last Name:MEEKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 W 25TH ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3152
Mailing Address - Country:US
Mailing Address - Phone:216-685-9975
Mailing Address - Fax:216-685-9976
Practice Address - Street 1:1810 W 25TH ST UNIT 1
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3152
Practice Address - Country:US
Practice Address - Phone:216-685-9975
Practice Address - Fax:216-685-9976
Is Sole Proprietor?:No
Enumeration Date:2018-11-23
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-04852111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor