Meyer, Theodore Mark

Meyer, Theodore Mark is an individual health care provider with primary practice located at 410 University Pkwy Suite 2400, Aiken SC 29801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Meyer, Theodore Mark can be contacted via phone (803) 642-5050.

Contact Information

Primary practice address
410 University Pkwy Suite 2400 Aiken SC 29801
Fax: (803) 642-3369
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7852 South Carolina

Profile Details

NPI number 1518039213
LBN Legal business name Meyer, Theodore Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 17th, 2018 - about 6 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 1518039213 NPPES
South Carolina Other 110048687 RAILROAD MEDICARE
South Carolina MEDICAID O78524 RAILROAD MEDICARE

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