Provider Demographics
NPI:1730255852
Name:MEEKER, TODD ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:ANTHONY
Last Name:MEEKER
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 1:19285 331ST AVE
Mailing Address - Street 2:
Mailing Address - City:GREEN ISLE
Mailing Address - State:MN
Mailing Address - Zip Code:55338-2105
Mailing Address - Country:US
Mailing Address - Phone:507-326-3176
Mailing Address - Fax:
Practice Address - Street 1:200 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLE PLAINE
Practice Address - State:MN
Practice Address - Zip Code:56011-1616
Practice Address - Country:US
Practice Address - Phone:952-873-6370
Practice Address - Fax:952-873-6375
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN003577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN766717500Medicaid
MN766717500Medicaid
MN411905862Medicare UPIN