Merritt, Clinton T.

Merritt, Clinton T. is an individual health care provider with primary practice located at 78 Medical Center Dr , Fishersville VA 22939. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Merritt, Clinton T. can be contacted via phone (540) 932-4075.

Contact Information

Primary practice address
78 Medical Center Dr Fishersville VA 22939
Fax: (540) 932-5199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101234711 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52553 Arizona

Profile Details

NPI number 1114990207
LBN Legal business name Merritt, Clinton T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Aug 15th, 2019 - about 6 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 1114990207 NPPES
Virginia Other 90408 OPTIMA
Virginia MEDICAID 010067065 OPTIMA
Virginia Other 5084062 OPTIMA
Virginia Other 236708 OPTIMA
Virginia Other 136872 OPTIMA
Virginia Other 10067065 OPTIMA
Virginia Other 2237898 OPTIMA

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