Merchant, Clifford R

Merchant, Clifford R is an individual health care provider with primary practice located at 3200 Providence Dr , Anchorage AK 99508-4661. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Merchant, Clifford R can be contacted via phone (907) 261-3111.

Contact Information

Primary practice address
3200 Providence Dr Anchorage AK 99508-4661
Phone: (907) 261-3111
Fax: (907) 565-8066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1552 Alaska
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1552 Alaska

Profile Details

NPI number 1730176942
LBN Legal business name Merchant, Clifford R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730176942 NPPES
Alaska MEDICAID MD15522

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