Mccreery, Jerry D

Mccreery, Jerry D is an individual health care provider with primary practice located at 4879 Us Highway 68 S , West Liberty OH 43357-9525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccreery, Jerry D can be contacted via phone (937) 599-1411.

Contact Information

Primary practice address
4879 Us Highway 68 S West Liberty OH 43357-9525
Fax: (937) 599-4128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35051131M Ohio

Profile Details

NPI number 1407859689
LBN Legal business name Mccreery, Jerry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 8th, 2014 - about 10 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 1407859689 NPPES
Ohio MEDICAID 0582589

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