Meyer, Charles R

Meyer, Charles R is an individual health care provider with primary practice located at 407 W 66Th St , Richfield MN 55423-2304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Meyer, Charles R can be contacted via phone (612) 798-8800.

Contact Information

Primary practice address
407 W 66Th St Richfield MN 55423-2304
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22208 Minnesota

Profile Details

NPI number 1639175102
LBN Legal business name Meyer, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 27th, 2014 - about 11 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 1639175102 NPPES
Minnesota Other 11479ME BCBS OF MINNESOTA
Minnesota MEDICAID 104888100 BCBS OF MINNESOTA
Minnesota Other 0401463 BCBS OF MINNESOTA

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