Shively, Merrick Lee

Shively, Merrick Lee is an individual health care provider with primary practice located at 1055 Divide View Dr , Golden CO 80403-9787. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Shively, Merrick Lee can be contacted via phone (303) 808-6401.

Contact Information

Primary practice address
1055 Divide View Dr Golden CO 80403-9787
Phone: (303) 808-6401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 12517 Colorado

Profile Details

NPI number 1922748789
LBN Legal business name Shively, Merrick Lee
Credentials PHD, RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2022
Last updated Mar 30th, 2022 - about 2 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 1922748789 NPPES
Other 0000 NONE
Other NONE NONE

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