Patterson, Jerry E
Patterson, Jerry E is an individual health care provider with primary practice located at 2823 N Duke St , Durham NC 27704-2621. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Patterson, Jerry E can be contacted via phone (919) 479-0707.Contact Information
Primary practice address
2823 N Duke St
Durham NC 27704-2621
Phone: (919) 479-0707
Fax: (919) 479-5435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3213 | North Carolina |
Profile Details
| NPI number | 1679530174 |
|---|---|
| LBN Legal business name | Patterson, Jerry E |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679530174 | NPPES |
| North Carolina | MEDICAID | 89-96677 | |
| North Carolina | Other | 96677 |
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