John, Jerry

John, Jerry is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Ste 203 , Roanoke VA 24014-2465. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. John, Jerry can be contacted via phone (540) 981-8749.

Contact Information

Primary practice address
2001 Crystal Spring Ave Sw Ste 203 Roanoke VA 24014-2465
Phone: (540) 981-8749
Fax: (540) 981-9305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200501438 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5210479-1205 Utah
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 0101274896 Virginia

Profile Details

NPI number 1659440543
LBN Legal business name John, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Oct 13th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659440543 NPPES
Utah MEDICAID 1659440543
Utah MEDICAID 5902155
Utah Other 807070
Utah Other 140XV
Utah Other 183494

Popular Providers