Mothershead, Jerry Lynn
Mothershead, Jerry Lynn is an sole proprietor health care provider with primary practice located at 707 Westover Ave , Norfolk VA 23507-1622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mothershead, Jerry Lynn can be contacted via phone (757) 627-3876.Contact Information
Primary practice address
707 Westover Ave
Norfolk VA 23507-1622
Phone: (757) 627-3876
Fax: (757) 627-3876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101040838 | Virginia |
Profile Details
| NPI number | 1871657171 |
|---|---|
| LBN Legal business name | Mothershead, Jerry Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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