Easterday, Gerry S
Easterday, Gerry S is an individual health care provider with primary practice located at 3978 New Vision Dr , Fort Wayne IN 46845-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Easterday, Gerry S can be contacted via phone (260) 672-4680.Contact Information
Primary practice address
3978 New Vision Dr
Fort Wayne IN 46845-1712
Phone: (260) 672-4680
Fax: (260) 672-4685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01036101A | Indiana |
Profile Details
| NPI number | 1073508461 |
|---|---|
| LBN Legal business name | Easterday, Gerry S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Apr 10th, 2014 - about 11 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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