Mayer, Jerry Alan
Mayer, Jerry Alan is an individual health care provider with primary practice located at 2301 South 7Th Street Suite 1, Ironton OH 45638. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Mayer, Jerry Alan can be contacted via phone (740) 532-4613.Contact Information
Primary practice address
2301 South 7Th Street Suite 1
Ironton OH 45638
Phone: (740) 532-4613
Fax: (740) 532-8099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 5949 | Kentucky |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 19061 | Ohio |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5949 | Kentucky |
Profile Details
| NPI number | 1235146101 |
|---|---|
| LBN Legal business name | Mayer, Jerry Alan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jan 16th, 2011 - about 13 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 | 1235146101 | NPPES |
| Kentucky | Other | 64059496 | MEDICAL PROVIDER NUMBER |
| Kentucky | MEDICAID | 0751575 | MEDICAL PROVIDER NUMBER |
| Kentucky | Other | 60059490 | MEDICAL PROVIDER NUMBER |
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