Mersich, Karl Tq

Mersich, Karl Tq is an individual health care provider with primary practice located at 2884 Wellness Ave Ste 100 , Orange City FL 32763-8397. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mersich, Karl Tq can be contacted via phone (386) 668-2221.

Contact Information

Primary practice address
2884 Wellness Ave Ste 100 Orange City FL 32763-8397
Fax: (386) 668-2228
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 177994-1 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 134072 Florida

Profile Details

NPI number 1275633737
LBN Legal business name Mersich, Karl Tq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Feb 23rd, 2018 - 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 1275633737 NPPES
New York MEDICAID 01252744

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