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
Fax: (252) 977-7403
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174550339 NPPES
North Carolina MEDICAID 8994578

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