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Contact Information

TIMOTHY C MERRY
1405 SPRUCE ST
RIVERSIDE, CA92507-2464
 Phone: 951-715-5050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Pastoral

101YP1600X
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for TIMOTHY C MERRY · (Male)

NPI Number 1669512232
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2007
Last updated 07/29/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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