Merrill, Douglas G

Merrill, Douglas G is an individual health care provider with primary practice located at 1 Medical Center Dr Department Of Anesthesia, Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Merrill, Douglas G can be contacted via phone (603) 650-5922.

Contact Information

Primary practice address
1 Medical Center Dr Department Of Anesthesia Lebanon NH 03756-1000
Fax: (603) 650-8980
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 14661 New Hampshire

Profile Details

NPI number 1710954219
LBN Legal business name Merrill, Douglas G
Credentials MD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Aug 1st, 2011 - about 15 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 1710954219 NPPES
Iowa MEDICAID 0748467
Iowa MEDICAID 1017029
Iowa MEDICAID 8255556
Iowa Other 29542
Iowa MEDICAID 30209185
Iowa Other 5531ME
Iowa Other 050077267

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