Provider Demographics
NPI:1265037584
Name:HERB MEYER FAMILY PRACTICE
Entity Type:Organization
Organization Name:HERB MEYER FAMILY PRACTICE
Other - Org Name:HERB MEYER FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERB
Authorized Official - Middle Name:T
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:603-303-0646
Mailing Address - Street 1:391 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03819-3219
Mailing Address - Country:US
Mailing Address - Phone:603-303-0646
Mailing Address - Fax:
Practice Address - Street 1:391 MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:NH
Practice Address - Zip Code:03819-3219
Practice Address - Country:US
Practice Address - Phone:603-303-0646
Practice Address - Fax:603-382-8595
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HERB T MEYER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-03
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty