Reimer, Jerry

Reimer, Jerry is an individual health care provider with primary practice located at 275 W Herndon Ave , Clovis CA 93612-0204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reimer, Jerry can be contacted via phone (559) 324-6200.

Contact Information

Primary practice address
275 W Herndon Ave Clovis CA 93612-0204
Phone: (559) 324-6200
Fax: (559) 324-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G81225 California

Profile Details

NPI number 1700867678
LBN Legal business name Reimer, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
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 1700867678 NPPES
California Other 77040368493612B013 CHAMPUS
California MEDICAID 00G812250 CHAMPUS
California Other 00G812250 CHAMPUS

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