Dr. Gerald Paul Myers
Family Doctor - Addiction Medicine
3 Park Row
Michigan City
, Indiana 46360
Dr. Gerald Paul Myers
Family Doctor - Addiction Medicine
3 Park Row
Michigan City
, Indiana 46360
(219) 879-9839
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Gerald Paul Myers
- 54354 Old Bedford Trl
- Mishawaka, IN
- Zip : 46545-1513
- Fax : (219) 879-9839
- Phone : (219) 874-7256
Second Address
- Dr. Gerald Paul Myers
- 3 Park Row
- Michigan City, IN
- Zip : 46360
- Fax : (219) 879-9839
- Phone : (219) 874-7256
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 01025704 | IN |
National Provider Identifier
| NPI | 1134306947 |
|---|---|
| Provider Name | Dr. Gerald Paul Myers |
| First Address | Mishawaka, IN 46545-1513 |
| Second Address | Michigan City, IN 46360 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2008 |
| Last Update Date | 23/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C25552 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.