Jeong, Gerard K
Jeong, Gerard K is an individual health care provider with primary practice located at 5301 E Grant Rd Orthopaedic Bldg, 1St Floor, Tucson AZ 85712-2805. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Jeong, Gerard K can be contacted via phone (520) 784-6200.Contact Information
Primary practice address
5301 E Grant Rd Orthopaedic Bldg, 1St Floor
Tucson AZ 85712-2805
Phone: (520) 784-6200
Fax: (520) 784-6109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 33838 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 33838 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 33838 | Arizona |
Profile Details
| NPI number | 1194727578 |
|---|---|
| LBN Legal business name | Jeong, Gerard K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Feb 10th, 2014 - about 10 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 | 1194727578 | NPPES |
| Arizona | MEDICAID | 939390 |
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