Authier, Jerry L
Authier, Jerry L is an individual health care provider with primary practice located at 4200 Douglas Street , Omaha NE 68131-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Authier, Jerry L can be contacted via phone (402) 552-3222.Contact Information
Primary practice address
4200 Douglas Street
Omaha NE 68131-2700
Phone: (402) 552-3222
Fax: (402) 552-2172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 54 | Nebraska |
Profile Details
| NPI number | 1689606642 |
|---|---|
| LBN Legal business name | Authier, Jerry L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Mar 15th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689606642 | NPPES |
| Iowa | MEDICAID | 91185843329 |
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