Merckle, Benjamin Gavin

Merckle, Benjamin Gavin is an sole proprietor health care provider with primary practice located at 1034 Mar Walt Dr , Fort Walton Beach FL 32547-6639. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Merckle, Benjamin Gavin can be contacted via phone (850) 863-2153.

Contact Information

Primary practice address
1034 Mar Walt Dr Fort Walton Beach FL 32547-6639
Phone: (850) 863-2153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1639514706
LBN Legal business name Merckle, Benjamin Gavin
Credentials C.S.F.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2013
Last updated Jun 26th, 2014 - about 10 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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