Merriman, Mark E.

Merriman, Mark E. is an individual health care provider with primary practice located at 227 W Janss Rd Ste 240, Thousand Oaks CA 91360-1848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Merriman, Mark E. can be contacted via phone (805) 371-0455.

Contact Information

Primary practice address
227 W Janss Rd Ste 240 Thousand Oaks CA 91360-1848
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G71754 California

Profile Details

NPI number 1104835487
LBN Legal business name Merriman, Mark E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 14th, 2010 - 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 1104835487 NPPES
California MEDICAID 00G717541

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