Provider Demographics
NPI:1992556195
Name:MEIER, SOPHIA ELIZABETH (DPM)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:ELIZABETH
Last Name:MEIER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:SOPHIE
Other - Middle Name:ELIZABETH
Other - Last Name:MEIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:611 E DOUGLAS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46545-1464
Mailing Address - Country:US
Mailing Address - Phone:574-335-6800
Mailing Address - Fax:
Practice Address - Street 1:611 E DOUGLAS RD STE 101
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-1464
Practice Address - Country:US
Practice Address - Phone:574-335-6214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program