Gerry, Scott W
Gerry, Scott W is an individual health care provider with primary practice located at 21 Whitehall Rd Ste 302 , Rochester NH 03867-3236. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Gerry, Scott W can be contacted via phone (603) 994-7633.Contact Information
Primary practice address
21 Whitehall Rd Ste 302
Rochester NH 03867-3236
Phone: (603) 994-7633
Fax: (603) 994-7648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD190 | Maine |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD 190 | Maine |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1842 | Massachusetts |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0193 | New Hampshire |
Profile Details
| NPI number | 1760487441 |
|---|---|
| LBN Legal business name | Gerry, Scott W |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Mar 9th, 2022 - about 2 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 | 1760487441 | NPPES |
| New Hampshire | MEDICAID | 30003216 | |
| New Hampshire | MEDICAID | 195460000 | |
| New Hampshire | Other | 620707 | |
| New Hampshire | MEDICAID | 0362182 | |
| New Hampshire | Other | 037709 | |
| New Hampshire | Other | 2704007 | |
| New Hampshire | Other | 2292640 | |
| New Hampshire | Other | 03Y005316ME01 | |
| New Hampshire | Other | 1760487441 | |
| New Hampshire | Other | 22122 | |
| New Hampshire | Other | E002988 | |
| New Hampshire | Other | 1942309737 | |
| New Hampshire | Other | MGH549 | |
| New Hampshire | Other | 043364985 |
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