Provider Demographics
NPI:1710029194
Name:MEEHL, JO A (MT)
Entity Type:Individual
Prefix:MRS
First Name:JO
Middle Name:A
Last Name:MEEHL
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18879 GILL RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3060
Mailing Address - Country:US
Mailing Address - Phone:248-474-6785
Mailing Address - Fax:248-679-8837
Practice Address - Street 1:19992 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1409
Practice Address - Country:US
Practice Address - Phone:734-838-9966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist