Powers, Jerold L

Powers, Jerold L is an sole proprietor health care provider with primary practice located at 10752 N 89Th Pl B-121, Scottsdale AZ 85260-6730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Powers, Jerold L can be contacted via phone (480) 661-0030.

Contact Information

Primary practice address
10752 N 89Th Pl B-121 Scottsdale AZ 85260-6730
Fax: (480) 661-9601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11237 Arizona

Profile Details

NPI number 1487615407
LBN Legal business name Powers, Jerold L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Dec 8th, 2011 - about 13 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 1487615407 NPPES
Arizona Other AZ0027610 BLUE CROSS ID

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