Ingalls, Jerrell
Ingalls, Jerrell is an individual health care provider with primary practice located at 445 Harlow Rd Ste 200 , Springfield OR 97477-1341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ingalls, Jerrell can be contacted via phone (541) 302-7771.Contact Information
Primary practice address
445 Harlow Rd Ste 200
Springfield OR 97477-1341
Phone: (541) 302-7771
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301083659 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35.093043 | Ohio |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 43663 | Kentucky |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60547691 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13857 | Nevada |
Profile Details
| NPI number | 1851517999 |
|---|---|
| LBN Legal business name | Ingalls, Jerrell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 5th, 2024 - about last year |
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 | 1851517999 | NPPES |
| Nevada | Other | P01168760 | RR MEDICARE |
| Nevada | MEDICAID | 624266 | RR MEDICARE |
| Nevada | MEDICAID | 200469660A | RR MEDICARE |
| Nevada | MEDICAID | 1851517999 | RR MEDICARE |
| Nevada | MEDICAID | 1851517999 | RR MEDICARE |
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