Mertz, Leecille M

Mertz, Leecille M is an sole proprietor health care provider with primary practice located at 1240 Place St , Baker City OR 97814-4040. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mertz, Leecille M can be contacted via phone (541) 519-6647.

Contact Information

Primary practice address
1240 Place St Baker City OR 97814-4040
Phone: (541) 519-6647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 61097501LPN Washington

Profile Details

NPI number 1881290989
LBN Legal business name Mertz, Leecille M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2020
Last updated Dec 5th, 2020 - about 6 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 1881290989 NPPES
Other 1568477297 TREATMENT CENTER

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