Mcknight, Jerry
Mcknight, Jerry is an individual health care provider with primary practice located at 850 Peter Bryce Blvd , Tuscaloosa AL 35401-7419. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mcknight, Jerry can be contacted via phone (205) 348-1770.Contact Information
Primary practice address
850 Peter Bryce Blvd
Tuscaloosa AL 35401-7419
Phone: (205) 348-1770
Fax: (205) 348-6561
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 10970 | Alabama |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10970 | Alabama |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 10970 | Alabama |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10970 | Alabama |
Profile Details
NPI number | 1356311005 |
---|---|
LBN Legal business name | Mcknight, Jerry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Mar 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356311005 | NPPES |
Alabama | MEDICAID | 000011765 |
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