Mertens, Lydia Hasbrouck

Mertens, Lydia Hasbrouck is an individual health care provider with primary practice located at 6800 Palm Avenue Suite C , Sebastopol CA 95472. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mertens, Lydia Hasbrouck can be contacted via phone (707) 824-9999.

Contact Information

Primary practice address
6800 Palm Avenue Suite C Sebastopol CA 95472
Phone: (707) 824-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G61214 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G61214 California

Profile Details

NPI number 1366592172
LBN Legal business name Mertens, Lydia Hasbrouck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Dec 21st, 2015 - about 10 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 1366592172 NPPES
California MEDICAID 00G612140

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