Provider Demographics
NPI:1861785107
Name:EPPS, MEGAN (DC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:EPPS
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 1:5400 WOLF ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80504-3432
Mailing Address - Country:US
Mailing Address - Phone:970-481-6066
Mailing Address - Fax:
Practice Address - Street 1:5400 WOLF ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80504-3432
Practice Address - Country:US
Practice Address - Phone:970-481-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6565111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor