MEDICARE: DR. RODNEY L MERRITT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3137	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4236791	OTHER	OH	PTAN

General Provider Information

NPI Number	:	1811051360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODNEY L MERRITT

Provider Business Mailing Address
First Line	:	5516 HILLIARD ROME OFFICE PARK
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-7286
Country	:	US
Telephone Number	:	614-777-1920
Fax Number	:	614-777-1940

Provider Business Practice Location Address
First Line	:	5516 HILLIARD ROME OFFICE PARK
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-7286
Country	:	US
Telephone Number	:	614-777-1920
Fax Number	:	614-777-1940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	02/02/2015

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