Provider Demographics
NPI:1548290612
Name:MEYER, ALAN RYAN (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:RYAN
Last Name:MEYER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 PARKWAY ST
Mailing Address - Street 2:SUITES C & D
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-5342
Mailing Address - Country:US
Mailing Address - Phone:501-932-0303
Mailing Address - Fax:501-932-0303
Practice Address - Street 1:2585 DONAGHEY AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-2327
Practice Address - Country:US
Practice Address - Phone:501-932-0303
Practice Address - Fax:501-932-0303
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor