Healthcare Provider Details

I. General information

NPI: 1417174129
Provider Name (Legal Business Name): JOSHUA WILLIAM MEIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3999 DUTCHMANS LN STE 6F
LOUISVILLE KY
40207-4729
US

IV. Provider business mailing address

PO BOX 766351
CHICAGO IL
60677-6351
US

V. Phone/Fax

Practice location:
  • Phone: 502-394-5678
  • Fax: 502-394-5600
Mailing address:
  • Phone: 502-588-9490
  • Fax: 502-272-5116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberM6288
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: