Merrill, Brandon Charles

Merrill, Brandon Charles is an individual health care provider with primary practice located at 3317 N Wimberly Dr , Fayetteville AR 72703-4056. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Merrill, Brandon Charles can be contacted via phone (479) 521-2752.

Contact Information

Primary practice address
3317 N Wimberly Dr Fayetteville AR 72703-4056
Phone: (479) 521-2752
Fax: (479) 521-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1022 Arkansas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X PA-1022 Arkansas

Profile Details

NPI number 1679957369
LBN Legal business name Merrill, Brandon Charles
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2015
Last updated Mar 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679957369 NPPES
Missouri MEDICAID 1679957369

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