1023305042 NPI number — SUSANNAH MARION MERRILL-BERNATH CD(CBI)

Table of content: SUSANNAH MARION MERRILL-BERNATH CD(CBI) (NPI 1023305042)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023305042 NPI number — SUSANNAH MARION MERRILL-BERNATH CD(CBI)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MERRILL-BERNATH
Provider First Name:
SUSANNAH
Provider Middle Name:
MARION
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CD(CBI)
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MERRILL
Provider Other First Name:
SUSANNAH
Provider Other Middle Name:
MARION
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1023305042
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
149 ASHFORD CENTER RD
Provider Second Line Business Mailing Address:
APT D8
Provider Business Mailing Address City Name:
ASHFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06278-1424
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-245-1894
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
149 ASHFORD CENTER RD
Provider Second Line Business Practice Location Address:
APT D8
Provider Business Practice Location Address City Name:
ASHFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06278-1424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-245-1894
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/29/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 374J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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