Merriman, George Robert

Merriman, George Robert is an sole proprietor health care provider with primary practice located at 949 Olive St , Shreveport LA 71104-2103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Merriman, George Robert can be contacted via phone (318) 222-3132.

Contact Information

Primary practice address
949 Olive St Shreveport LA 71104-2103
Fax: (318) 222-3865
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 09092R Louisiana

Profile Details

NPI number 1285670356
LBN Legal business name Merriman, George Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Feb 19th, 2020 - about 4 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 1285670356 NPPES
Louisiana MEDICAID 1931322

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