Merrill, David C

Merrill, David C is an individual health care provider with primary practice located at 8905 W Lincoln Ave #505, West Allis WI 53227-2468. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Merrill, David C can be contacted via phone (414) 329-5647.

Contact Information

Primary practice address
8905 W Lincoln Ave #505 West Allis WI 53227-2468
Phone: (414) 329-5647
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9701062 North Carolina
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 9701062 North Carolina

Profile Details

NPI number 1972587053
LBN Legal business name Merrill, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Nov 4th, 2011 - about 13 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 1972587053 NPPES
Virginia MEDICAID 6217281
Virginia Other B8052
Virginia Other 1055R
Virginia MEDICAID 891055R
Virginia Other 19721
Virginia MEDICAID 3004936000
Virginia Other 7336411
Virginia MEDICAID Q0106A

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