Provider Demographics
NPI:1194964304
Name:MYERS CHIROPRACTIC & FUNCTIONAL HEALTH
Entity type:Organization
Organization Name:MYERS CHIROPRACTIC & FUNCTIONAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-676-0963
Mailing Address - Street 1:3106 SWEETEN CREEK RD STE E
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8107
Mailing Address - Country:US
Mailing Address - Phone:828-676-0963
Mailing Address - Fax:828-676-0962
Practice Address - Street 1:3106 SWEETEN CREEK RD STE E
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8107
Practice Address - Country:US
Practice Address - Phone:828-676-0963
Practice Address - Fax:828-676-0962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905981Medicaid
NCC19HLOtherBCBS
NCV11998OtherUPIN
NC0853FOtherBCBS 2
NC11698640OtherCAQH
NC7870913OtherAETNA
NC2459150Medicare PIN