Grubb, Merritt Byron

Grubb, Merritt Byron is an individual health care provider with primary practice located at 400 Burdick Expy E , Minot ND 58701-4768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Grubb, Merritt Byron can be contacted via phone (701) 857-7382.

Contact Information

Primary practice address
400 Burdick Expy E Minot ND 58701-4768
Fax: (701) 857-7342
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 3384 North Dakota

Profile Details

NPI number 1912094947
LBN Legal business name Grubb, Merritt Byron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated May 24th, 2012 - about 13 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 1912094947 NPPES
North Dakota MEDICAID 12552

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