Gage, Jerry
Gage, Jerry is an sole proprietor health care provider with primary practice located at 1060 Orchard Ave Suite G, Grand Junction CO 81501-2997. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gage, Jerry can be contacted via phone (970) 243-8328.Contact Information
Primary practice address
1060 Orchard Ave Suite G
Grand Junction CO 81501-2997
Phone: (970) 243-8328
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 32735 | Colorado |
Profile Details
| NPI number | 1538183553 |
|---|---|
| LBN Legal business name | Gage, Jerry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Aug 30th, 2007 - about 17 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 | 1538183553 | NPPES |
| Colorado | MEDICAID | 01327352 |
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