Provider Demographics
NPI:1942283833
Name:COLLIER, JEFFREY MEYER (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MEYER
Last Name:COLLIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12337 HANCOCK ST
Mailing Address - Street 2:SUITE 18
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5803
Mailing Address - Country:US
Mailing Address - Phone:317-844-8836
Mailing Address - Fax:317-575-3404
Practice Address - Street 1:12337 HANCOCK ST
Practice Address - Street 2:SUITE 18
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5803
Practice Address - Country:US
Practice Address - Phone:317-844-8836
Practice Address - Fax:317-575-3404
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2011-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01041963A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F09071Medicare UPIN
IN254590Medicare PIN