Meyer, Jeffery Gerard

Meyer, Jeffery Gerard is an individual health care provider with primary practice located at 122 Palomino Ln , Lino Lakes MN 55014-2913. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Meyer, Jeffery Gerard can be contacted via phone (651) 784-0862.

Contact Information

Primary practice address
122 Palomino Ln Lino Lakes MN 55014-2913
Phone: (651) 784-0862
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5030 Minnesota

Profile Details

NPI number 1972691608
LBN Legal business name Meyer, Jeffery Gerard
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 9th, 2011 - about 14 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 1972691608 NPPES
Minnesota MEDICAID 634554900

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