Merriam, Stephen W
Merriam, Stephen W is an individual health care provider with primary practice located at 5792 Widewaters Pkwy , Syracuse NY 13214-1847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Merriam, Stephen W can be contacted via phone (315) 422-4412.Contact Information
Primary practice address
5792 Widewaters Pkwy
Syracuse NY 13214-1847
Phone: (315) 422-4412
Fax: (315) 422-4432
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 47874 | Wisconsin |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 227900 | New York |
Profile Details
NPI number | 1013984681 |
---|---|
LBN Legal business name | Merriam, Stephen W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2006 |
Last updated | Apr 27th, 2019 - about 5 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 | 1013984681 | NPPES |
Wisconsin | MEDICAID | 34628900 |
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