Merboth, Eleanor Doris

Merboth, Eleanor Doris is an individual health care provider with primary practice located at 6100 Dobbin Rd. , Columbia MD 21045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Merboth, Eleanor Doris can be contacted via phone (443) 492-4000.

Contact Information

Primary practice address
6100 Dobbin Rd. Columbia MD 21045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R173589 Maryland

Profile Details

NPI number 1386924991
LBN Legal business name Merboth, Eleanor Doris
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2011
Last updated Nov 5th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386924991 NPPES
Maryland MEDICAID 051086600

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