Merrill, Jill

Merrill, Jill is an individual health care provider with primary practice located at 840 N 87Th St , Milwaukee WI 53226-3586. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Merrill, Jill can be contacted via phone (414) 805-5760.

Contact Information

Primary practice address
840 N 87Th St Milwaukee WI 53226-3586
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D11533 Minnesota
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6169 Wisconsin

Profile Details

NPI number 1659575314
LBN Legal business name Merrill, Jill
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Feb 18th, 2009 - 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 1659575314 NPPES
Wisconsin MEDICAID 33815800

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