Merritt, Jason Lee

Merritt, Jason Lee is an individual health care provider with primary practice located at 1600 Specht Point Rd Ste 127, Fort Collins CO 80525-4311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Merritt, Jason Lee can be contacted via phone (970) 493-7733.

Contact Information

Primary practice address
1600 Specht Point Rd Ste 127 Fort Collins CO 80525-4311
Phone: (970) 493-7733
Fax: (970) 493-8745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101232293 Virginia

Profile Details

NPI number 1093704991
LBN Legal business name Merritt, Jason Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Apr 6th, 2009 - about 16 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 1093704991 NPPES
Colorado MEDICAID 09279555

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