Merv Brereton
Individual provider Active NPI Counselor · Whitehall, OH
NPI 1689499451 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1689499451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 4653 E Main St
Whitehall, OH 43213-3298 - Phone
- (614) 875-2371
- NPI assigned
- Nov 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
4653 E Main St
Whitehall, OH 43213-3298
Mailing address
4653 E Main St
Whitehall, OH 43213-3298
Phone (614) 875-2371
Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.