Earnhardt, Jerry Oliver

Earnhardt, Jerry Oliver is an individual health care provider with primary practice located at 110 W Walker Ave , Asheboro NC 27203-6760. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Earnhardt, Jerry Oliver can be contacted via phone (336) 633-7000.

Contact Information

Primary practice address
110 W Walker Ave Asheboro NC 27203-6760
Phone: (336) 633-7000
Fax: (336) 625-3817
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X S3269 North Carolina

Profile Details

NPI number 1962550392
LBN Legal business name Earnhardt, Jerry Oliver
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 10th, 2022 - about 2 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 1962550392 NPPES
North Carolina MEDICAID 6103545

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