Provider Demographics
NPI:1346239415
Name:MEYER, HERB THOMAS (DO)
Entity Type:Individual
Prefix:
First Name:HERB
Middle Name:THOMAS
Last Name:MEYER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:603-382-8595
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
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH11382207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
7858OtherHARVARD PILGRIM
94321OtherCIGNA
001142719004OtherUNITED HEALTHCARE
071655OtherTUFTS
0100181OtherEVERCARE OF UNH
04YP03614NHOtherANTHEM
MAM17906OtherBCBS
020529578OtherUNICARE
NH30221782Medicaid
MA3087727Medicaid
BM2049511OtherDEA (FED)
XM2049511OtherDEA
XM2049511OtherDEA
94321OtherCIGNA
F14276Medicare UPIN