Mertensmeyer, Erich
Mertensmeyer, Erich is an individual health care provider with primary practice located at 1229 E Seminole St Ste 520, Springfield MO 65804-2227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Mertensmeyer, Erich can be contacted via phone (417) 820-5750.Contact Information
Primary practice address
1229 E Seminole St Ste 520
Springfield MO 65804-2227
Phone: (417) 820-5750
Fax: (417) 820-5066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 2003013945 | Missouri |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 2003013945 | Missouri |
Profile Details
| NPI number | 1396861498 |
|---|---|
| LBN Legal business name | Mertensmeyer, Erich |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Sep 25th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396861498 | NPPES |
| Missouri | MEDICAID | 1396861498 | |
| Missouri | MEDICAID | 191683003 | |
| Missouri | Other | 431560263 | |
| Missouri | Other | P01036353 |
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