Meyer, Theo E

Meyer, Theo E is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Cardiovascular Medicine, Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Meyer, Theo E can be contacted via phone (508) 334-3452.

Contact Information

Primary practice address
55 Lake Ave N Department Of Cardiovascular Medicine Worcester MA 01655-0002
Phone: (508) 334-3452
Fax: (774) 441-7657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 150067 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 150067 Massachusetts

Profile Details

NPI number 1568445294
LBN Legal business name Meyer, Theo E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Nov 12th, 2020 - about 5 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 1568445294 NPPES
Massachusetts MEDICAID 110054155A
Massachusetts MEDICAID 3121895

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