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
Phone: (763) 587-7900
Fax: (763) 494-7501
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861438228 | NPPES |
Minnesota | MEDICAID | 256515300 |
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