San Diego, Jerry William
San Diego, Jerry William is an individual health care provider with primary practice located at 4101 S 4Th St P And Lms, Leavenworth KS 66048-5014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. San Diego, Jerry William can be contacted via phone (913) 682-2000.Contact Information
Primary practice address
4101 S 4Th St P And Lms
Leavenworth KS 66048-5014
Phone: (913) 682-2000
Fax: (913) 758-4193
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 024399 | Louisiana |
Profile Details
NPI number | 1285694604 |
---|---|
LBN Legal business name | San Diego, Jerry William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2006 |
Last updated | Aug 4th, 2014 - about 10 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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