Jennings, Jerome Edwin
Jennings, Jerome Edwin is an individual health care provider with primary practice located at 1345 Westgate Center Dr Suite B, Winston Salem NC 27103-3040. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Jennings, Jerome Edwin can be contacted via phone (336) 765-1571.Contact Information
Primary practice address
1345 Westgate Center Dr Suite B
Winston Salem NC 27103-3040
Phone: (336) 765-1571
Fax: (336) 659-0425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 17013 | North Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 17013 | North Carolina |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 17013 | North Carolina |
Profile Details
| NPI number | 1861495806 |
|---|---|
| LBN Legal business name | Jennings, Jerome Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Feb 18th, 2013 - about 12 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 | 1861495806 | NPPES |
| North Carolina | Other | 0223770001 | MEDICARE DME |
| North Carolina | Other | 45906 | MEDICARE DME |
| North Carolina | MEDICAID | 8945906 | MEDICARE DME |
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