Merced, Jorge M

Merced, Jorge M is an individual health care provider with primary practice located at 11315 Bridgeport Way Sw St Clare Hospital, Lakewood WA 98499-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Merced, Jorge M can be contacted via phone (253) 581-6403.

Contact Information

Primary practice address
11315 Bridgeport Way Sw St Clare Hospital Lakewood WA 98499-3004
Phone: (253) 581-6403
Fax: (253) 584-6544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00020359 Washington

Profile Details

NPI number 1194716894
LBN Legal business name Merced, Jorge M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1194716894 NPPES
Washington MEDICAID 1079946

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