Carter, Jerry L

Carter, Jerry L is an individual health care provider with primary practice located at 725 North St , Pittsfield MA 01201-4109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Carter, Jerry L can be contacted via phone (413) 447-2170.

Contact Information

Primary practice address
725 North St Pittsfield MA 01201-4109
Fax: (413) 664-5546
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 158181 Massachusetts

Profile Details

NPI number 1235149097
LBN Legal business name Carter, Jerry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 20th, 2016 - about 8 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 1235149097 NPPES
Massachusetts MEDICAID 1200143

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