Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | NH11382 | NH |
NPI | 1346239415 |
---|---|
Provider Name | Herb Thomas Meyer |
First Address | Danville, NH 03819-3219 |
Second Address | Danville, NH 03819-3219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 05/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001142719004 | UNITED HEALTHCARE (01) | |
0100181 | EVERCARE OF UNH (01) | |
020529578 | UNICARE (01) | |
04YP03614NH | ANTHEM (01) | |
071655 | TUFTS (01) | |
30221782 | (05) | NH |
3087727 | (05) | MA |
7858 | HARVARD PILGRIM (01) | |
94321 | CIGNA (01) | |
BM2049511 | DEA (FED) (01) | |
F14276 | (02) | |
M17906 | BCBS (01) | MA |
XM2049511 | DEA (01) |