Pomeroy, Jerry L
Pomeroy, Jerry L is an individual health care provider with primary practice located at 2311 S Kansas Rd , Newton KS 67114-9032. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Pomeroy, Jerry L can be contacted via phone (316) 283-7187.Contact Information
Primary practice address
2311 S Kansas Rd
Newton KS 67114-9032
Phone: (316) 283-7187
Fax: (316) 283-7189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11-01015 | Kansas |
Profile Details
| NPI number | 1578650321 |
|---|---|
| LBN Legal business name | Pomeroy, Jerry L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Feb 17th, 2009 - about 15 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 | 1578650321 | NPPES |
| Kansas | MEDICAID | 200308300B | |
| Kansas | Other | P00385870 |
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