Provider Demographics
NPI:1710318464
Name:FOUGHT, MEGHAN BRIE (DC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:BRIE
Last Name:FOUGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:BRIE
Other - Last Name:GRAVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:8152 N 32ND ST STE C
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-8500
Mailing Address - Country:US
Mailing Address - Phone:269-350-9000
Mailing Address - Fax:
Practice Address - Street 1:8152 N 32ND ST STE C
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MI
Practice Address - Zip Code:49083-8500
Practice Address - Country:US
Practice Address - Phone:518-932-2137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-05
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012450111NR0400X
MI2301010474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation