Realing, Jerry Robert

Realing, Jerry Robert is an individual health care provider with primary practice located at 1233 E 2Nd St , Casper WY 82601-2926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Realing, Jerry Robert can be contacted via phone (307) 333-6910.

Contact Information

Primary practice address
1233 E 2Nd St Casper WY 82601-2926
Phone: (307) 333-6910
Fax: (307) 333-6912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5078 Nebraska
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7785A Wyoming

Profile Details

NPI number 1023235041
LBN Legal business name Realing, Jerry Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Mar 22nd, 2019 - about 6 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 1023235041 NPPES
Mississippi MEDICAID 06273520
Mississippi MEDICAID 455571
Mississippi Other P00424701
Mississippi MEDICAID 124556200

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