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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659575314 | NPPES |
| Wisconsin | MEDICAID | 33815800 |
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