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NPI Code Detail

MEDICARE: JEROLD A MEYER MD

MEDICARE: JEROLD A MEYER MD
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
1207Q00000XFamily Medicine Physician35042571OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821093881
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEROLD A MEYER MD
Provider Business Mailing Address
First Line : 55435 TR 170
Second Line :
City : FRESNO
State : OH
Zip : 43824
Country : US
Telephone Number : 740-322-0332
Fax Number : 740-622-0335
Provider Business Practice Location Address
First Line : 20265 EMERY RD
Second Line :
City : NORTH RANDALL
State : OH
Zip : 44128-4122
Country : US
Telephone Number : 440-523-9966
Fax Number : 216-584-2895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 02/25/2015

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