Merrill, Kimberly Hageman
Merrill, Kimberly Hageman is an individual health care provider with primary practice located at 30 Harrison St Suite 100, Johnson City NY 13790-2161. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Merrill, Kimberly Hageman can be contacted via phone (607) 763-6850.Contact Information
Primary practice address
30 Harrison St Suite 100
Johnson City NY 13790-2161
Phone: (607) 763-6850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 305734 | New York |
Profile Details
| NPI number | 1225325921 |
|---|---|
| LBN Legal business name | Merrill, Kimberly Hageman |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2011 |
| Last updated | Apr 23rd, 2014 - about 10 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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