Merrick, Raymond Daniel

Merrick, Raymond Daniel is an individual health care provider with primary practice located at 310 N State Of Franklin Rd Suite 400, Johnson City TN 37604-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Merrick, Raymond Daniel can be contacted via phone (423) 979-6000.

Contact Information

Primary practice address
310 N State Of Franklin Rd Suite 400 Johnson City TN 37604-6008
Phone: (423) 979-6000
Fax: (423) 979-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD17955 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101237024 Virginia

Profile Details

NPI number 1588620108
LBN Legal business name Merrick, Raymond Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Feb 16th, 2017 - about 7 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 1588620108 NPPES
Tennessee MEDICAID 1515622
Tennessee MEDICAID 1588620108
Tennessee Other P00844319
Tennessee Other P00104592
Tennessee MEDICAID 3891810

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