Stevens, Merrilyn Jane

Stevens, Merrilyn Jane is an sole proprietor health care provider with primary practice located at 100 Kenyon Ave , Wakefield RI 02879-4216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Stevens, Merrilyn Jane can be contacted via phone (401) 782-8000.

Contact Information

Primary practice address
100 Kenyon Ave Wakefield RI 02879-4216
Phone: (401) 782-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD05994 Rhode Island
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD05994 Rhode Island

Profile Details

NPI number 1164462024
LBN Legal business name Stevens, Merrilyn Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Apr 22nd, 2008 - about 17 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 1164462024 NPPES
Rhode Island MEDICAID 7056701

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