Jewell, Robert Jerold

Jewell, Robert Jerold is an individual health care provider with primary practice located at 4370 W Main St , Dothan AL 36305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jewell, Robert Jerold can be contacted via phone (334) 793-5000.

Contact Information

Primary practice address
4370 W Main St Dothan AL 36305
Phone: (334) 793-5000
Fax: (334) 615-8419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1033505 Alabama

Profile Details

NPI number 1710948518
LBN Legal business name Jewell, Robert Jerold
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1710948518 NPPES
Louisiana MEDICAID 1772348
Louisiana Other P00059329
Louisiana MEDICAID 01402209
Louisiana Other 51515697
Louisiana Other 2000644

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