Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 5101019149 | MI |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 269757 | MA |
NPI | 1619265238 |
---|---|
Provider Name | Dr. Helena Meyer |
First Address | Dartmouth, MA 02747 |
Second Address | Dartmouth, MA 02747 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2011 |
Last Update Date | 21/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5315049484 | BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE (01) | MI |