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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1164459350 NPPES
Missouri MEDICAID 201902327

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