Meyer, John L

Meyer, John L is an individual health care provider with primary practice located at 201 S Beacon Blvd , Grand Haven MI 49417-1947. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Meyer, John L can be contacted via phone (616) 846-3400.

Contact Information

Primary practice address
201 S Beacon Blvd Grand Haven MI 49417-1947
Fax: (616) 846-3406
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X JM000745 Michigan

Profile Details

NPI number 1285620351
LBN Legal business name Meyer, John L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1285620351 NPPES
Michigan MEDICAID 2105899

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