Aldridge, Jerry D

Aldridge, Jerry D is an individual health care provider with primary practice located at 1333 Southview Dr , Bluefield WV 24701-4317. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Aldridge, Jerry D can be contacted via phone (304) 327-2900.

Contact Information

Primary practice address
1333 Southview Dr Bluefield WV 24701-4317
Phone: (304) 327-2900
Fax: (304) 327-2989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 35096 West Virginia

Profile Details

NPI number 1437249620
LBN Legal business name Aldridge, Jerry D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437249620 NPPES
West Virginia MEDICAID 0068965000

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