Burley, Jerald Ray
Burley, Jerald Ray is an individual health care provider with primary practice located at Bldg 301 Andrews Ave Lyster Army Health Clinic, Fort Rucker AL 36362-5333. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Burley, Jerald Ray can be contacted via phone (334) 255-7185.Contact Information
Primary practice address
Bldg 301 Andrews Ave Lyster Army Health Clinic
Fort Rucker AL 36362-5333
Phone: (334) 255-7185
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | B1865741 | Texas |
Profile Details
| NPI number | 1982932729 |
|---|---|
| LBN Legal business name | Burley, Jerald Ray |
| Credentials | EMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2009 |
| Last updated | Dec 4th, 2009 - about 15 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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