Meccia, John W

Meccia, John W is an individual health care provider with primary practice located at 490 S Maple St Suite 205, Waconia MN 55387-1760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Meccia, John W can be contacted via phone (952) 925-5626.

Contact Information

Primary practice address
490 S Maple St Suite 205 Waconia MN 55387-1760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 38257 Minnesota

Profile Details

NPI number 1912015942
LBN Legal business name Meccia, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated May 12th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912015942 NPPES
Minnesota MEDICAID 391324400

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