Merritt, Gregory W

Merritt, Gregory W is an individual health care provider with primary practice located at 473 Colony Dr # 82 , Fairhope AL 36532-7173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Merritt, Gregory W can be contacted via phone (601) 310-4425.

Contact Information

Primary practice address
473 Colony Dr # 82 Fairhope AL 36532-7173
Phone: (601) 310-4425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 09640 Mississippi

Profile Details

NPI number 1376658518
LBN Legal business name Merritt, Gregory W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 30th, 2021 - about 5 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 1376658518 NPPES
Louisiana MEDICAID 1974625
Louisiana Other 370009685
Louisiana MEDICAID 009936058
Louisiana Other 1559011
Louisiana MEDICAID 00115630

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