Provider Demographics
NPI:1346233582
Name:MEIRING, PEGGY (AUD)
Entity Type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:
Last Name:MEIRING
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 S MAIN ST
Mailing Address - Street 2:SUITE #4
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-2479
Mailing Address - Country:US
Mailing Address - Phone:419-584-2255
Mailing Address - Fax:419-584-0808
Practice Address - Street 1:950 S MAIN ST
Practice Address - Street 2:SUITE #4
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-2479
Practice Address - Country:US
Practice Address - Phone:419-584-2255
Practice Address - Fax:419-584-0808
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00651231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH286566313-00OtherBWC PIN
OH2527279Medicaid
OH000000364926OtherANTHEM PIN
OH000000364926OtherANTHEM PIN
OHME4149161Medicare ID - Type Unspecified