Wise, Merrill S

Wise, Merrill S is an individual health care provider with primary practice located at 5050 Poplar Ave Suite 800, Memphis TN 38157-0101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Wise, Merrill S can be contacted via phone (901) 276-2662.

Contact Information

Primary practice address
5050 Poplar Ave Suite 800 Memphis TN 38157-0101
Phone: (901) 276-2662
Fax: (901) 274-2033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 41144 Tennessee
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 41144 Tennessee

Profile Details

NPI number 1922089192
LBN Legal business name Wise, Merrill S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 17th, 2020 - about 4 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 1922089192 NPPES
Texas MEDICAID 117214001

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