Meyer, Mark Herman

Meyer, Mark Herman is an sole proprietor health care provider with primary practice located at 3015 Avenue A , Kearney NE 68847-3525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Meyer, Mark Herman can be contacted via phone (308) 865-2565.

Contact Information

Primary practice address
3015 Avenue A Kearney NE 68847-3525
Fax: (308) 865-2569
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 14619C Wyoming

Profile Details

NPI number 1629177530
LBN Legal business name Meyer, Mark Herman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 27th, 2022 - about 2 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 1629177530 NPPES
Kansas Other 100202840A KANSAS MEDICAID
Kansas Other 07495 KANSAS MEDICAID
Kansas MEDICAID 47-062901713 KANSAS MEDICAID

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