Provider Demographics
NPI:1669505244
Name:MEYER, DANIEL H (RN)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:H
Last Name:MEYER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 HUBERT DR
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:OH
Mailing Address - Zip Code:45380-9595
Mailing Address - Country:US
Mailing Address - Phone:937-526-4636
Mailing Address - Fax:937-526-4636
Practice Address - Street 1:1033 HUBERT DR
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:OH
Practice Address - Zip Code:45380-9595
Practice Address - Country:US
Practice Address - Phone:937-526-4636
Practice Address - Fax:937-526-4636
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN . 280488163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2619723Medicare UPIN