Provider Demographics
NPI:1609126192
Name:YVES J MEYER MD PC
Entity Type:Organization
Organization Name:YVES J MEYER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YVES
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-237-5546
Mailing Address - Street 1:2900 - 12TH AVE N SUITE 202E
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7500
Mailing Address - Country:US
Mailing Address - Phone:406-237-5546
Mailing Address - Fax:
Practice Address - Street 1:2900 - 12TH AVE N SUITE 202E
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7500
Practice Address - Country:US
Practice Address - Phone:406-237-5546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10870207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1104852847Medicaid
WY1104852847Medicaid
E92899Medicare UPIN
MT1104852847Medicaid