Merriam, Louis Thayer

Merriam, Louis Thayer is an individual health care provider with primary practice located at 130 Fisher Rd Suite 3-1, Berlin VT 05602-9516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Merriam, Louis Thayer can be contacted via phone (802) 225-7039.

Contact Information

Primary practice address
130 Fisher Rd Suite 3-1 Berlin VT 05602-9516
Phone: (802) 225-7039
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 212039 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 042.0012371 Vermont

Profile Details

NPI number 1710906136
LBN Legal business name Merriam, Louis Thayer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 11th, 2014 - about 12 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 1710906136 NPPES
Vermont MEDICAID 1020429
Vermont Other 5372668
Vermont Other 77L071
Vermont MEDICAID 01881158

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