Gerard, Jody
Gerard, Jody is an sole proprietor health care provider with primary practice located at 8 Wright St Ste 107 , Westport CT 06880-3114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gerard, Jody can be contacted via phone (203) 895-2355.Contact Information
Primary practice address
8 Wright St Ste 107
Westport CT 06880-3114
Phone: (203) 895-2355
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 200200903 | North Carolina |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 48064 | Connecticut |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 264672 | New York |
Profile Details
NPI number | 1144229006 |
---|---|
LBN Legal business name | Gerard, Jody |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 21st, 2005 |
Last updated | Jul 23rd, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144229006 | NPPES |
North Carolina | MEDICAID | 89133FU | |
North Carolina | Other | E3148 | |
North Carolina | Other | 133FU |
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