Jerby, Brian Leroy

Jerby, Brian Leroy is an individual health care provider with primary practice located at 1718 E 4Th St Suite 307, Charlotte NC 28204-3261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Jerby, Brian Leroy can be contacted via phone (704) 333-1259.

Contact Information

Primary practice address
1718 E 4Th St Suite 307 Charlotte NC 28204-3261
Phone: (704) 333-1259
Fax: (704) 333-0371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 00264 North Carolina

Profile Details

NPI number 1609867993
LBN Legal business name Jerby, Brian Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 8th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609867993 NPPES
North Carolina MEDICAID 891195P

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