Merrill, Stephen
Merrill, Stephen is an individual health care provider with primary practice located at 22 Stonewall Ave , Dartmouth MA 02747-5318. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Merrill, Stephen can be contacted via phone (508) 998-2151.Contact Information
Primary practice address
22 Stonewall Ave
Dartmouth MA 02747-5318
Phone: (508) 998-2151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1022455 | Massachusetts |
Profile Details
| NPI number | 1285985499 |
|---|---|
| LBN Legal business name | Merrill, Stephen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2012 |
| Last updated | Sep 27th, 2012 - about 12 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 | 1285985499 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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