Merrick, John Clinton
Merrick, John Clinton is an individual health care provider with primary practice located at 1110 Oak Ridge Dr , Eau Claire WI 54701-6133. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Merrick, John Clinton can be contacted via phone (715) 514-2550.Contact Information
Primary practice address
1110 Oak Ridge Dr
Eau Claire WI 54701-6133
Phone: (715) 514-2550
Fax: (715) 514-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 48417020 | Wisconsin |
Profile Details
| NPI number | 1215915426 |
|---|---|
| LBN Legal business name | Merrick, John Clinton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Nov 1st, 2023 - about 2 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 | 1215915426 | NPPES |
| Wisconsin | MEDICAID | 34672400 |
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