Daniels, Jerry C

Daniels, Jerry C is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Daniels, Jerry C can be contacted via phone (409) 772-2222.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-5302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X D7003 Texas

Profile Details

NPI number 1043370083
LBN Legal business name Daniels, Jerry C
Credentials MD,PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated May 21st, 2009 - about 16 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 1043370083 NPPES
Texas MEDICAID 117161302

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