Gerwe, Jeremy Paul
Gerwe, Jeremy Paul is an sole proprietor health care provider with primary practice located at 3412 Office Park Drive , Marion IL 62959. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gerwe, Jeremy Paul can be contacted via phone (618) 993-0404.Contact Information
Primary practice address
3412 Office Park Drive
Marion IL 62959
Phone: (618) 993-0404
Fax: (618) 993-1717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 42607 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036128431 | Illinois |
Profile Details
| NPI number | 1376683003 |
|---|---|
| LBN Legal business name | Gerwe, Jeremy Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | May 10th, 2023 - 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 | 1376683003 | NPPES |
| Indiana | MEDICAID | 200947990 | |
| Indiana | MEDICAID | 7100080980 |
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