Provider Demographics
NPI:1477967040
Name:MEYER, JAY HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:HOWARD
Last Name:MEYER
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 1:1 STADIUM DR RM 4601
Mailing Address - Street 2:P.O. BOX 9186
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-7900
Mailing Address - Country:US
Mailing Address - Phone:304-293-7542
Mailing Address - Fax:304-293-5709
Practice Address - Street 1:1 STADIUM DR RM 4601
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-7900
Practice Address - Country:US
Practice Address - Phone:304-293-7542
Practice Address - Fax:304-293-5709
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program