Mccauley, Jerry
Mccauley, Jerry is an individual health care provider with primary practice located at 833 Chestnut St Suite 700, Philadelphia PA 19107-4414. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mccauley, Jerry can be contacted via phone (215) 503-3000.Contact Information
Primary practice address
833 Chestnut St Suite 700
Philadelphia PA 19107-4414
Phone: (215) 503-3000
Fax: (215) 503-4099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD031404E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD031404E | Pennsylvania |
Profile Details
| NPI number | 1023085792 |
|---|---|
| LBN Legal business name | Mccauley, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Jun 26th, 2019 - about 5 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 | 1023085792 | NPPES |
| Pennsylvania | MEDICAID | 001026816 |
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