Adams, Merritt
Adams, Merritt is an individual health care provider with primary practice located at 1717 Taylor Ave , Racine WI 53403-2405. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Adams, Merritt can be contacted via phone (262) 632-1780.Contact Information
Primary practice address
1717 Taylor Ave
Racine WI 53403-2405
Phone: (262) 632-1780
Fax: (262) 632-0895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11643 1585 | Wisconsin |
Profile Details
| NPI number | 1013175868 |
|---|---|
| LBN Legal business name | Adams, Merritt |
| Credentials | CADCIII |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2008 |
| Last updated | May 29th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013175868 | NPPES |
| Wisconsin | MEDICAID | 39173000 |
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