Merrill, Kevin Douglas
Merrill, Kevin Douglas is an individual health care provider with primary practice located at 710 Lawrence Expy , Santa Clara CA 95051-5173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Merrill, Kevin Douglas can be contacted via phone (408) 851-4026.Contact Information
Primary practice address
710 Lawrence Expy
Santa Clara CA 95051-5173
Phone: (408) 851-4026
Fax: (408) 851-4019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A94502 | California |
Profile Details
| NPI number | 1952440661 |
|---|---|
| LBN Legal business name | Merrill, Kevin Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Dec 15th, 2021 - about 3 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 | 1952440661 | NPPES |
| California | Other | 09706 | PI NUMBER |
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