Mckinsey, Gerald Leroy

Mckinsey, Gerald Leroy is an individual health care provider with primary practice located at 1409 E Briggsmore Ave , Modesto CA 95355-2707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mckinsey, Gerald Leroy can be contacted via phone (209) 524-1211.

Contact Information

Primary practice address
1409 E Briggsmore Ave Modesto CA 95355-2707
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17303 California

Profile Details

NPI number 1083669147
LBN Legal business name Mckinsey, Gerald Leroy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 2nd, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083669147 NPPES
California Other CD069A MEDICARE - GROUP PTAN
California MEDICAID PA17303 MEDICARE - GROUP PTAN

Popular Providers