Provider Demographics
NPI:1407259120
Name:MERCER HEALTH & BENEFITS ADMINISTRATION LLC
Entity Type:Organization
Organization Name:MERCER HEALTH & BENEFITS ADMINISTRATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-434-1144
Mailing Address - Street 1:1 INVESTORS WAY
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-1599
Mailing Address - Country:US
Mailing Address - Phone:888-434-1144
Mailing Address - Fax:857-362-2999
Practice Address - Street 1:1 INVESTORS WAY
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-1599
Practice Address - Country:US
Practice Address - Phone:888-434-1144
Practice Address - Fax:857-362-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1935964251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1935964OtherMASS PRODUCER LICENSE