Healthcare Provider Details

I. General information

NPI: 1801811559
Provider Name (Legal Business Name): JEFFREY VAN METER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 02/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S COLUMBUS ST
SOMERSET OH
43783-9750
US

IV. Provider business mailing address

PO BOX 1821
ZANESVILLE OH
43702-1821
US

V. Phone/Fax

Practice location:
  • Phone: 740-743-2464
  • Fax: 740-743-2346
Mailing address:
  • Phone: 740-455-9788
  • Fax: 740-455-3686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY PAUL VAN METER
Title or Position: PRESIDENT
Credential: MD
Phone: 740-743-2464