Merillat, Richard L
Merillat, Richard L is an sole proprietor health care provider with primary practice located at 1222 Se 47Th St Suite 217, Cape Coral FL 33904-9661. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Merillat, Richard L can be contacted via phone (239) 829-5480.Contact Information
Primary practice address
1222 Se 47Th St Suite 217
Cape Coral FL 33904-9661
Phone: (239) 829-5480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW7100 | Florida |
Profile Details
| NPI number | 1417970245 |
|---|---|
| LBN Legal business name | Merillat, Richard L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | May 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417970245 | NPPES |
| Florida | MEDICAID | 767529100 |
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