Mergen, John Mergen
Mergen, John Mergen is an sole proprietor health care provider with primary practice located at 1509 Mall Dr Ste 1 , Iowa City IA 52240-3111. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mergen, John Mergen can be contacted via phone (319) 688-0800.Contact Information
Primary practice address
1509 Mall Dr Ste 1
Iowa City IA 52240-3111
Phone: (319) 688-0800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 7784 | Iowa |
Profile Details
| NPI number | 1215017835 |
|---|---|
| LBN Legal business name | Mergen, John Mergen |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215017835 | NPPES |
| Iowa | MEDICAID | 0454603 |
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