Ingram, Jeremy David
Ingram, Jeremy David is an individual health care provider with primary practice located at 2776 Cleveland Ave , Fort Myers FL 33901-5864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ingram, Jeremy David can be contacted via phone (239) 343-2606.Contact Information
Primary practice address
2776 Cleveland Ave
Fort Myers FL 33901-5864
Phone: (239) 343-2606
Fax: (239) 343-3695
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS10697 | Florida |
Profile Details
NPI number | 1396946430 |
---|---|
LBN Legal business name | Ingram, Jeremy David |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 29th, 2007 |
Last updated | Mar 25th, 2021 - about 3 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 | 1396946430 | NPPES |
Florida | Other | 148MK | BLUE CROSS PROVIDER NUMBER |
Florida | MEDICAID | 002279300 | BLUE CROSS PROVIDER NUMBER |
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