Meyer, Mark Ames
Meyer, Mark Ames is an individual health care provider with primary practice located at 1000 N Broadway , Peru IN 46970-1070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Meyer, Mark Ames can be contacted via phone (765) 472-5335.Contact Information
Primary practice address
1000 N Broadway
Peru IN 46970-1070
Phone: (765) 472-5335
Fax: (765) 472-5468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01035273A | Indiana |
Profile Details
| NPI number | 1023010246 |
|---|---|
| LBN Legal business name | Meyer, Mark Ames |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 25th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023010246 | NPPES |
| Indiana | Other | 000000592124 | ANTHEM |
| Indiana | MEDICAID | 100344710 | ANTHEM |
| Indiana | Other | 000000738897 | ANTHEM |
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