Paige, Jerry W

Paige, Jerry W is an sole proprietor health care provider with primary practice located at 204 Clinic Dr , Donaldsonville LA 70346. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is his primary health care specialty. Paige, Jerry W can be contacted via phone (225) 473-4719.

Contact Information

Primary practice address
204 Clinic Dr Donaldsonville LA 70346
Phone: (225) 473-4719
Fax: (225) 473-4719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 00457 Louisiana
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 00457 Louisiana

Profile Details

NPI number 1831186691
LBN Legal business name Paige, Jerry W
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Jun 16th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831186691 NPPES
Louisiana Other 650013713 RAILROAD MEDICARE

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