Provider Demographics
NPI:1053350355
Name:MEYERS, ERIC DOUGLAS (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DOUGLAS
Last Name:MEYERS
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 1:49 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3530
Mailing Address - Country:US
Mailing Address - Phone:203-843-1668
Mailing Address - Fax:
Practice Address - Street 1:2440 WHITNEY AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3222
Practice Address - Country:US
Practice Address - Phone:203-287-8524
Practice Address - Fax:203-287-2452
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTV07644Medicare UPIN
CT350001436Medicare ID - Type Unspecified