Griffin, Mervin
Griffin, Mervin is an sole proprietor health care provider with primary practice located at 20 Livingston Ave Unit 401 , New Brunswick NJ 08901-1991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Griffin, Mervin can be contacted via phone (917) 881-1223.Contact Information
Primary practice address
20 Livingston Ave Unit 401
New Brunswick NJ 08901-1991
Phone: (917) 881-1223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 00024696 | Alabama |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 213359 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MA08065400 | New Jersey |
Profile Details
| NPI number | 1487636726 |
|---|---|
| LBN Legal business name | Griffin, Mervin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jan 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487636726 | NPPES |
| Alabama | MEDICAID | 051509907 | |
| Alabama | Other | 930118897 | |
| Alabama | Other | P00451724 | |
| Alabama | MEDICAID | 0107336 | |
| Alabama | Other | 91002398002/NON PAR | |
| Alabama | Other | 051509907 |
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