Meyer, Paula Susan

Meyer, Paula Susan is an individual health care provider with primary practice located at 3189 Logan Valley Rd , Traverse City MI 49684-4772. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Meyer, Paula Susan can be contacted via phone (231) 932-1988.

Contact Information

Primary practice address
3189 Logan Valley Rd Traverse City MI 49684-4772
Fax: (231) 932-7693
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704121716 Michigan

Profile Details

NPI number 1760434682
LBN Legal business name Meyer, Paula Susan
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 26th, 2008 - about 16 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 1760434682 NPPES
Michigan MEDICAID 518789810

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