Merzlock, Justin Gregory
Merzlock, Justin Gregory is an sole proprietor health care provider with primary practice located at 4511 Zebe Ave , Chubbuck ID 83202-4707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Merzlock, Justin Gregory can be contacted via phone (208) 904-4780.Contact Information
Primary practice address
4511 Zebe Ave
Chubbuck ID 83202-4707
Phone: (208) 904-4780
Fax: (208) 904-4832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71322 | Idaho |
Profile Details
| NPI number | 1013668847 |
|---|---|
| LBN Legal business name | Merzlock, Justin Gregory |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2022 |
| Last updated | Jan 13th, 2022 - about 3 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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