Merrill, Jeffrey D

Merrill, Jeffrey D is an individual health care provider with primary practice located at 747 52Nd St Neonatology - 3Rd Floor, Oakland CA 94609-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Merrill, Jeffrey D can be contacted via phone (510) 428-5282.

Contact Information

Primary practice address
747 52Nd St Neonatology - 3Rd Floor Oakland CA 94609-1809
Phone: (510) 428-5282
Fax: (510) 450-5823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A46081 California

Profile Details

NPI number 1720017254
LBN Legal business name Merrill, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Aug 6th, 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 1720017254 NPPES
Pennsylvania MEDICAID 0015555570001
Pennsylvania MEDICAID 6934706

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