National Provider Identifier Database

CLINTON F MERRILL JR, MD – NPI #1992707285
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

CLINTON F MERRILL JR, MD
15 SHRINE CLUB RD
LANDER, WY82520-8501
Phone: 307-332-0324
Fax: 307-332-0382
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for CLINTON F MERRILL JR

NPI Number 1992707285
Credentials MD
Entity Individual
Enumeration date 06/01/2005
Last updated 03/09/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • WY License #: 3277A
  • CO Medicaid: 63235552
  • NE Medicaid: 10025668100
  • WY Medicaid: 141495000
  • WY Other: 311538 BCBS
  • WY Other: W27189 MEDICARE PTAN (WY)
  • WY Other: 3277A WYOMING MEDICAL LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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