Basic Information
Provider Information
NPI: 1396707857
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEUNIER
FirstName: ERIK
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DPM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 10417
Address2:  
City: HOLYOKE
State: MA
PostalCode: 010412017
CountryCode: US
TelephoneNumber: 4135400150
FaxNumber: 4135400159
Practice Location
Address1: 81 WILLIMANSETT ST
Address2:  
City: SOUTH HADLEY
State: MA
PostalCode: 010753000
CountryCode: US
TelephoneNumber: 4135360912
FaxNumber: 4135386760
Other Information
ProviderEnumerationDate: 04/03/2006
LastUpdateDate: 04/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213E00000X2030MAY Podiatric Medicine & Surgery Service ProvidersPodiatrist 

No ID Information.


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