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
Phone: (308) 865-2565
Fax: (308) 865-2569
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1629177530 | NPPES |
| Kansas | Other | 100202840A | KANSAS MEDICAID |
| Kansas | Other | 07495 | KANSAS MEDICAID |
| Kansas | MEDICAID | 47-062901713 | KANSAS MEDICAID |
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