Provider Demographics
NPI:1861572976
Name:MEARA, MORGAN JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:JOHN
Last Name:MEARA
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 1:702 ROBESON ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5426
Mailing Address - Country:US
Mailing Address - Phone:508-672-1133
Mailing Address - Fax:508-324-0475
Practice Address - Street 1:702 ROBESON ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5426
Practice Address - Country:US
Practice Address - Phone:508-672-1133
Practice Address - Fax:508-324-0475
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36008Medicare PIN