Jernigan, Edward W
Jernigan, Edward W is an individual health care provider with primary practice located at 1427 N Wesleyan Blvd , Rocky Mount NC 27804-1843. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jernigan, Edward W can be contacted via phone (252) 977-7197.Contact Information
Primary practice address
1427 N Wesleyan Blvd
Rocky Mount NC 27804-1843
Phone: (252) 977-7197
Fax: (252) 977-7403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4913 | North Carolina |
Profile Details
| NPI number | 1174550339 |
|---|---|
| LBN Legal business name | Jernigan, Edward W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1174550339 | NPPES |
| North Carolina | MEDICAID | 8994578 |
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