Ford, Gerald D

Ford, Gerald D is an sole proprietor health care provider with primary practice located at 130 S Broadway St , New Philadelphia OH 44663-3829. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optician is his primary health care specialty. Ford, Gerald D can be contacted via phone (330) 343-1215.

Contact Information

Primary practice address
130 S Broadway St New Philadelphia OH 44663-3829
Phone: (330) 343-1215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X S488 Ohio
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 488S Ohio

Profile Details

NPI number 1720179617
LBN Legal business name Ford, Gerald D
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Nov 22nd, 2011 - about 14 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 1720179617 NPPES
Ohio MEDICAID 1607729

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