Merrow, Ethan Zachariah
Merrow, Ethan Zachariah is an sole proprietor health care provider with primary practice located at 1701 Mulberry Lake Drive , Dacula GA 30019. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Merrow, Ethan Zachariah can be contacted via phone (770) 712-4910.Contact Information
Primary practice address
1701 Mulberry Lake Drive
Dacula GA 30019
Phone: (770) 712-4910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1053820282 |
|---|---|
| LBN Legal business name | Merrow, Ethan Zachariah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1053820282 | NPPES |
| Other | 390200000X | CHRIS LINKER ATC LAT |
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