Foltz, Jerry Richard

Foltz, Jerry Richard is an individual health care provider with primary practice located at 4796 Hodges Blvd Suite 101-104, Jacksonville FL 32224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Foltz, Jerry Richard can be contacted via phone (904) 449-7246.

Contact Information

Primary practice address
4796 Hodges Blvd Suite 101-104 Jacksonville FL 32224
Phone: (904) 449-7246
Fax: (904) 719-7571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME 95194 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME95194 Florida

Profile Details

NPI number 1144290677
LBN Legal business name Foltz, Jerry Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Sep 25th, 2019 - about 5 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 1144290677 NPPES
Florida MEDICAID 100386600

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