Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 047723 | CT |
N | 207X00000X | Orthopaedic Surgeon | G70048 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | G70048 | CA |
NPI | 1023074796 |
---|---|
Provider Name | Jeffrey Jon Meter |
First Address | Hartford, CT 06105-1770 |
Second Address | Hartford, CT 06105-1770 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 08/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G700480 | (05) | CA |
G68845 | (02) | CA |