Merrell, Phillip

Merrell, Phillip is an individual health care provider with primary practice located at 2155 Wester Street , San Francisco CA 94115. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Merrell, Phillip can be contacted via phone (415) 929-6572.

Contact Information

Primary practice address
2155 Wester Street San Francisco CA 94115
Phone: (415) 929-6572
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X SP156 California

Profile Details

NPI number 1316974454
LBN Legal business name Merrell, Phillip
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316974454 NPPES
California MEDICAID LAB64366F

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