Purifoy, Jerald

Purifoy, Jerald is an individual health care provider with primary practice located at 15777 Northline Rd Ste 203 , Southgate MI 48195-2354. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Purifoy, Jerald can be contacted via phone (734) 246-8100.

Contact Information

Primary practice address
15777 Northline Rd Ste 203 Southgate MI 48195-2354
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 4301051144 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301051144 Michigan

Profile Details

NPI number 1902979495
LBN Legal business name Purifoy, Jerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Oct 22nd, 2020 - about 5 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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