Provider Demographics
NPI:1003848474
Name:GEIMEIER, WILLIAM JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOHN
Last Name:GEIMEIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 W CHESTNUT HILL RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2210
Mailing Address - Country:US
Mailing Address - Phone:302-453-1343
Mailing Address - Fax:302-453-1654
Practice Address - Street 1:179 W CHESTNUT HILL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2210
Practice Address - Country:US
Practice Address - Phone:302-453-1343
Practice Address - Fax:302-453-1654
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0001765207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
397142OtherMAMSI
DE0000048901Medicaid
0078796000OtherAMERIHEALTH
511251OtherAETNA
DE095620A48Medicare ID - Type Unspecified
DE0000048901Medicaid