Merrill, Chester G.

Merrill, Chester G. is an sole proprietor health care provider with primary practice located at 7 Seafield Ln , Westhampton Beach NY 11978-2714. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Merrill, Chester G. can be contacted via phone (631) 288-1122.

Contact Information

Primary practice address
7 Seafield Ln Westhampton Beach NY 11978-2714
Phone: (631) 288-1122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 24505 New York

Profile Details

NPI number 1780008052
LBN Legal business name Merrill, Chester G.
Credentials C.A.S.A.C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2014
Last updated Feb 7th, 2014 - about 10 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 1780008052 NPPES
Other 24505 C.A.S.A.C

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