Merry, Thomas Gordon

Merry, Thomas Gordon is an individual health care provider with primary practice located at 1649 Lucerne St Ste A & B, Minden NV 89423-4369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Merry, Thomas Gordon can be contacted via phone (775) 782-1603.

Contact Information

Primary practice address
1649 Lucerne St Ste A & B Minden NV 89423-4369
Phone: (775) 782-1603
Fax: (775) 782-3417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7634 Nevada

Profile Details

NPI number 1689648719
LBN Legal business name Merry, Thomas Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Apr 22nd, 2009 - about 17 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 1689648719 NPPES
Nevada MEDICAID 002003030
Nevada MEDICAID 003103030

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