Merrill, Evan Chard

Merrill, Evan Chard is an individual health care provider with primary practice located at 1904 E Barnett Rd , Medford OR 97504-8262. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Merrill, Evan Chard can be contacted via phone (541) 776-3338.

Contact Information

Primary practice address
1904 E Barnett Rd Medford OR 97504-8262
Phone: (541) 776-3338
Fax: (541) 776-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00312 Oregon
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DP00312 Oregon

Profile Details

NPI number 1528166485
LBN Legal business name Merrill, Evan Chard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Sep 16th, 2020 - about 4 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 1528166485 NPPES
Oregon MEDICAID 297199
Oregon Other 891269001

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