Metcalf, Jerry T

Metcalf, Jerry T is an individual health care provider with primary practice located at 626 Bethany Rd , Dekalb IL 60115-4939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Metcalf, Jerry T can be contacted via phone (815) 748-8993.

Contact Information

Primary practice address
626 Bethany Rd Dekalb IL 60115-4939
Phone: (815) 748-8993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 041-255087 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 209-002136 Illinois

Profile Details

NPI number 1376545160
LBN Legal business name Metcalf, Jerry T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated May 19th, 2010 - about 14 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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