Merrick, Robert Benjamin

Merrick, Robert Benjamin is an individual health care provider with primary practice located at 250 Mercy Dr , Dubuque IA 52001-7320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Merrick, Robert Benjamin can be contacted via phone (563) 589-8796.

Contact Information

Primary practice address
250 Mercy Dr Dubuque IA 52001-7320
Phone: (563) 589-8796
Fax: (563) 587-8776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21692 Iowa

Profile Details

NPI number 1346233590
LBN Legal business name Merrick, Robert Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Dec 11th, 2007 - about 18 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 1346233590 NPPES
Iowa MEDICAID 0016717
Iowa Other 30055
Iowa MEDICAID 32620800

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