Merriman, Mark E.
Merriman, Mark E. is an individual health care provider with primary practice located at 227 W Janss Rd Ste 240, Thousand Oaks CA 91360-1848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Merriman, Mark E. can be contacted via phone (805) 371-0455.Contact Information
Primary practice address
227 W Janss Rd Ste 240
Thousand Oaks CA 91360-1848
Phone: (805) 371-0455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G71754 | California |
Profile Details
| NPI number | 1104835487 |
|---|---|
| LBN Legal business name | Merriman, Mark E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Dec 14th, 2010 - about 16 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 | 1104835487 | NPPES |
| California | MEDICAID | 00G717541 |
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