Jerry, Kristopher P
Jerry, Kristopher P is an individual health care provider with primary practice located at 1846 Se Port St Lucie Blvd , Port St Lucie FL 34952-5545. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Jerry, Kristopher P can be contacted via phone (772) 301-1951.Contact Information
Primary practice address
1846 Se Port St Lucie Blvd
Port St Lucie FL 34952-5545
Phone: (772) 301-1951
Fax: (772) 934-7297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3941 | Florida |
Profile Details
| NPI number | 1063861979 |
|---|---|
| LBN Legal business name | Jerry, Kristopher P |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2016 |
| Last updated | Sep 19th, 2022 - about 3 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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