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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023010246 NPPES
Indiana Other 000000592124 ANTHEM
Indiana MEDICAID 100344710 ANTHEM
Indiana Other 000000738897 ANTHEM

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