Merzlock, Matthew J
Merzlock, Matthew J is an individual health care provider with primary practice located at 3360 Washington Pkwy Ste 1 , Idaho Falls ID 83404-8333. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Merzlock, Matthew J can be contacted via phone (208) 524-3416.Contact Information
Primary practice address
3360 Washington Pkwy Ste 1
Idaho Falls ID 83404-8333
Phone: (208) 524-3416
Fax: (208) 524-3138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-553 | Idaho |
Profile Details
| NPI number | 1316985229 |
|---|---|
| LBN Legal business name | Merzlock, Matthew J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Mar 12th, 2013 - about 12 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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