Meyer, Mark

Meyer, Mark is an individual health care provider with primary practice located at 65 Community Rd Suite C, Tallmadge OH 44278-2357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Meyer, Mark can be contacted via phone (330) 633-6601.

Contact Information

Primary practice address
65 Community Rd Suite C Tallmadge OH 44278-2357
Fax: (330) 630-2941
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35050600M Ohio

Profile Details

NPI number 1306836002
LBN Legal business name Meyer, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Sep 12th, 2016 - about 8 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 1306836002 NPPES
Ohio MEDICAID 0567499

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