Depold, Gerald Douglas

Depold, Gerald Douglas is an individual health care provider with primary practice located at 2817 Reilly Rd Womack Army Medical Center, Fort Bragg NC 28310-7324. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Depold, Gerald Douglas can be contacted via phone (910) 907-8922.

Contact Information

Primary practice address
2817 Reilly Rd Womack Army Medical Center Fort Bragg NC 28310-7324
Phone: (910) 907-8922
Fax: (910) 907-6069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1051876

Profile Details

NPI number 1245217900
LBN Legal business name Depold, Gerald Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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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