Merrill, Stephen L

Merrill, Stephen L is an individual health care provider with primary practice located at 3524 E Milwaukee St , Janesville WI 53546-1626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Merrill, Stephen L can be contacted via phone (608) 756-7100.

Contact Information

Primary practice address
3524 E Milwaukee St Janesville WI 53546-1626
Phone: (608) 756-7100
Fax: (608) 756-4700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036049241 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036049241 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 51728 Wisconsin

Profile Details

NPI number 1144246489
LBN Legal business name Merrill, Stephen L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 14th, 2011 - about 14 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 1144246489 NPPES
Other 215652 MEDICARE GROUP #
Other MERRISTE MEDICARE GROUP #
MEDICAID 036049241 MEDICARE GROUP #
Other 553180 MEDICARE GROUP #
Other 553180 MEDICARE GROUP #
Other P00612688CD3624 MEDICARE GROUP #
Other 834340 MEDICARE GROUP #

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