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NPI Code Detail

MEDICARE: TIMOTHY J MEYER

MEDICARE:   TIMOTHY J MEYER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1770361727
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY J MEYER
Provider Business Mailing Address
First Line : 7965 MAVERICK ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-2148
Country : US
Telephone Number : 702-622-5839
Fax Number :
Provider Business Practice Location Address
First Line : 7965 MAVERICK ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-2148
Country : US
Telephone Number : 702-622-5839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2023
Last Update Date : 09/20/2023

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Directions to “ TIMOTHY J MEYER ” Practice Location

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