Provider Demographics
NPI:1679714984
Name:MAGNER, MEGHAN MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:MARIE
Last Name:MAGNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2657 BARTON RD
Mailing Address - Street 2:
Mailing Address - City:GRANTVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66429-9245
Mailing Address - Country:US
Mailing Address - Phone:785-224-3323
Mailing Address - Fax:
Practice Address - Street 1:940 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-2327
Practice Address - Country:US
Practice Address - Phone:913-367-3963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor