Meyer, Magnus O.

Meyer, Magnus O. is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Meyer, Magnus O. can be contacted via phone (417) 820-6569.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 820-6569
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X R4G32 Missouri

Profile Details

NPI number 1538258702
LBN Legal business name Meyer, Magnus O.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated May 1st, 2013 - about 13 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 1538258702 NPPES
Missouri Other 431560263 TRICARE
Missouri MEDICAID 1538258702 TRICARE
Missouri MEDICAID 186003003 TRICARE
Missouri Other P00912918 TRICARE

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