Merrill, Philemon R

Merrill, Philemon R is an individual health care provider with primary practice located at 7400 S Power Rd Suite 120, Gilbert AZ 85297-9281. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Merrill, Philemon R can be contacted via phone (480) 988-1659.

Contact Information

Primary practice address
7400 S Power Rd Suite 120 Gilbert AZ 85297-9281
Phone: (480) 988-1659
Fax: (480) 988-1871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1876 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 270990-1206 Utah

Profile Details

NPI number 1639144702
LBN Legal business name Merrill, Philemon R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Dec 11th, 2015 - about 9 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 1639144702 NPPES
Utah Other P00059274 RAILROAD MEDICARE

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