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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1013984681 NPPES
Wisconsin MEDICAID 34628900

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