Ferris, Gerald Leland
Ferris, Gerald Leland is an individual health care provider with primary practice located at 12033 Agency Rd , Parker AZ 85344-7718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ferris, Gerald Leland can be contacted via phone (928) 669-2137.Contact Information
Primary practice address
12033 Agency Rd
Parker AZ 85344-7718
Phone: (928) 669-2137
Fax: (928) 669-3366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21308 | Arizona |
Profile Details
| NPI number | 1417999103 |
|---|---|
| LBN Legal business name | Ferris, Gerald Leland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Aug 13th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417999103 | NPPES |
| Arizona | Other | HSZ134 | MEDICARE PART B PARKER |
| Arizona | MEDICAID | 403923 | MEDICARE PART B PARKER |
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