Provider Demographics
NPI:1639280258
Name:MEYER, NANCY LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LYNN
Last Name:MEYER
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:PO BOX 21791
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0181
Mailing Address - Country:US
Mailing Address - Phone:540-819-6817
Mailing Address - Fax:540-301-1398
Practice Address - Street 1:4903 STARKEY RD STE 200A
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-8525
Practice Address - Country:US
Practice Address - Phone:540-819-6817
Practice Address - Fax:540-301-1398
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001258111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00960997OtherMEDICARE RAILROAD
VA034967OtherANTHEM BCBS
VA034967OtherANTHEM BCBS
VAU51877Medicare UPIN