Merrill, Richard Mark

Merrill, Richard Mark is an individual health care provider with primary practice located at 21 Reade Pl 1000, Poughkeepsie NY 12601-3912. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Merrill, Richard Mark can be contacted via phone (845) 214-1880.

Contact Information

Primary practice address
21 Reade Pl 1000 Poughkeepsie NY 12601-3912
Phone: (845) 214-1880
Fax: (845) 214-1885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 283734 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 283734 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 283734 New York

Profile Details

NPI number 1508182676
LBN Legal business name Merrill, Richard Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2010
Last updated Sep 13th, 2017 - about 8 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 1508182676 NPPES
New York MEDICAID 04448344

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