Nicoll-Merson, Heidi Gayle
Nicoll-Merson, Heidi Gayle is an individual health care provider with primary practice located at 481 30Th St , Oakland CA 94609-3209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Nicoll-Merson, Heidi Gayle can be contacted via phone (510) 835-4521.Contact Information
Primary practice address
481 30Th St
Oakland CA 94609-3209
Phone: (510) 835-4521
Fax: (510) 835-4223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G56098 | California |
Profile Details
| NPI number | 1073558565 |
|---|---|
| LBN Legal business name | Nicoll-Merson, Heidi Gayle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Feb 14th, 2017 - about 9 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 | 1073558565 | NPPES |
| California | MEDICAID | 00G560980 |
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