Merkel, Jerome Patrick

Merkel, Jerome Patrick is an individual health care provider with primary practice located at 9825 Hospital Dr Ste 300 , Maple Grove MN 55369-4768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Merkel, Jerome Patrick can be contacted via phone (763) 587-7900.

Contact Information

Primary practice address
9825 Hospital Dr Ste 300 Maple Grove MN 55369-4768
Fax: (763) 494-7501
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36365 Minnesota

Profile Details

NPI number 1861438228
LBN Legal business name Merkel, Jerome Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 8th, 2022 - about 2 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 1861438228 NPPES
Minnesota MEDICAID 256515300

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