Meier, Maryjo

Meier, Maryjo is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 401 , Mishawaka IN 46545-1468. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Meier, Maryjo can be contacted via phone (574) 335-6242.

Contact Information

Primary practice address
611 E Douglas Rd Ste 401 Mishawaka IN 46545-1468
Fax: (574) 335-0758
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01054386A Indiana

Profile Details

NPI number 1386683522
LBN Legal business name Meier, Maryjo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 19th, 2024 - about 10 months 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 1386683522 NPPES
Indiana Other 1102438797 ANTHEM
Indiana MEDICAID 200329260A ANTHEM

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