Puryear, Jerome

Puryear, Jerome is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Puryear, Jerome can be contacted via phone (937) 296-7202.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35087047 Ohio

Profile Details

NPI number 1255381000
LBN Legal business name Puryear, Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255381000 NPPES
Ohio MEDICAID 2621274

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