Merrick, Ellen

Merrick, Ellen is an individual health care provider with primary practice located at 4199 Gateway Blvd Suite 2500, Newburgh IN 47630-8940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Merrick, Ellen can be contacted via phone (812) 471-0104.

Contact Information

Primary practice address
4199 Gateway Blvd Suite 2500 Newburgh IN 47630-8940
Phone: (812) 471-0104
Fax: (812) 476-2383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01057619A Indiana

Profile Details

NPI number 1598760175
LBN Legal business name Merrick, Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Feb 22nd, 2024 - about last year

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 1598760175 NPPES
Indiana MEDICAID 200443430

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