Merrill, Thomas

Merrill, Thomas is an individual health care provider with primary practice located at 950 N Porter Ave Suite 300, Norman OK 73071-6400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Merrill, Thomas can be contacted via phone (405) 321-0121.

Contact Information

Primary practice address
950 N Porter Ave Suite 300 Norman OK 73071-6400
Phone: (405) 321-0121
Fax: (405) 292-6099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD14334 Oklahoma

Profile Details

NPI number 1760474605
LBN Legal business name Merrill, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 14th, 2010 - about 15 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 1760474605 NPPES
Oklahoma Other 4011372 AETNA EDI
Oklahoma MEDICAID 100089560A AETNA EDI
Oklahoma Other 110012623 AETNA EDI

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