Merena, Stephen John

Merena, Stephen John is an individual health care provider with primary practice located at 192 Tilley Dr , South Burlington VT 05403-4440. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Merena, Stephen John can be contacted via phone (802) 847-2663.

Contact Information

Primary practice address
192 Tilley Dr South Burlington VT 05403-4440
Phone: (802) 847-2663
Fax: (802) 847-3828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 056-0000174 Vermont

Profile Details

NPI number 1194758557
LBN Legal business name Merena, Stephen John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jan 15th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194758557 NPPES
Vermont MEDICAID 0VN2096
Vermont Other 48378

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