Meyer, Randall E
Meyer, Randall E is an individual health care provider with primary practice located at 3501 A West Truman Blvd , Jefferson City MO 65109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Meyer, Randall E can be contacted via phone (573) 636-0635.Contact Information
Primary practice address
3501 A West Truman Blvd
Jefferson City MO 65109
Phone: (573) 636-0635
Fax: (573) 659-4685
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36393 | Missouri |
Profile Details
NPI number | 1164459350 |
---|---|
LBN Legal business name | Meyer, Randall E |
Credentials | MD FACC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2006 |
Last updated | Jun 27th, 2008 - about 17 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 | 1164459350 | NPPES |
Missouri | MEDICAID | 201902327 |
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