Merritt, Walter D
Merritt, Walter D is an sole proprietor health care provider with primary practice located at 8185 State Highway 789 , Lander WY 82520-2942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. Merritt, Walter D can be contacted via phone (307) 335-7555.Contact Information
Primary practice address
8185 State Highway 789
Lander WY 82520-2942
Phone: (307) 335-7555
Fax: (307) 335-7999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | M5753 | Idaho |
Profile Details
| NPI number | 1053394643 |
|---|---|
| LBN Legal business name | Merritt, Walter D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Sep 11th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053394643 | NPPES |
| Idaho | MEDICAID | 804259200 |
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