Provider Demographics
NPI:1992951156
Name:MEINHOFER, PETER (DC)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:MEINHOFER
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 1:34 TROTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8921
Mailing Address - Country:US
Mailing Address - Phone:425-443-8259
Mailing Address - Fax:
Practice Address - Street 1:34 TROTTINGHAM RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8921
Practice Address - Country:US
Practice Address - Phone:425-443-8259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034616111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor