Meza, Michael G

Meza, Michael G is an individual health care provider with primary practice located at 3400 E Fernan Hill Rd , Coeur D Alene ID 83814-7588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Meza, Michael G can be contacted via phone (208) 819-2183.

Contact Information

Primary practice address
3400 E Fernan Hill Rd Coeur D Alene ID 83814-7588
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M7043 Idaho

Profile Details

NPI number 1134124506
LBN Legal business name Meza, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Oct 7th, 2020 - about 4 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 1134124506 NPPES
Idaho MEDICAID 003814500

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