Provider Demographics
NPI:1699069278
Name:MEADE CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:MEADE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MEADE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-640-6770
Mailing Address - Street 1:PO BOX 17842
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41017-0842
Mailing Address - Country:US
Mailing Address - Phone:859-640-6770
Mailing Address - Fax:
Practice Address - Street 1:4 HIDDEN VALLEY DR STE F
Practice Address - Street 2:
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:KY
Practice Address - Zip Code:41076-7600
Practice Address - Country:US
Practice Address - Phone:859-441-8181
Practice Address - Fax:859-970-1281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100101230Medicaid
KYU99059Medicare UPIN
KY7100101230Medicaid