Audrey E Myers, DC
Individual provider Active NPI Chiropractor · Newark, DE
NPI 1487735189 · NPPES record last updated May 16, 2008
Key facts
- NPI
- 1487735189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- F10000671 (DE)
- Practice address
- 19A Haines St
Newark, DE 19711-4610 - Phone
- (302) 832-7000
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10000671 | DE | MD | Chiropractor |
| 38MC00659100 | NJ | MD | Chiropractor |
| AJ009601 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Truly Well, LLC | Chiropractor | Past | Accepting new patients |
| True Wellness Centers Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F10000671 | DE | Yes |
| Chiropractor | 111N00000X | 38MC00659100 | NJ | |
| Chiropractor | 111N00000X | AJ009601 | PA |
Addresses
Primary practice location
19A Haines St
Newark, DE 19711-4610
Mailing address
19A Haines St
Newark, DE 19711-4610
Phone (302) 832-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721564372 | Other | DE | TAX ID# |
| 1629083282 | Other | DE | GROUP NPI |
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.