Speer, Jerry
Speer, Jerry is an individual health care provider with primary practice located at 500 15Th Ave S , Great Falls MT 59405-4304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Speer, Jerry can be contacted via phone (406) 455-2130.Contact Information
Primary practice address
500 15Th Ave S
Great Falls MT 59405-4304
Phone: (406) 455-2130
Fax: (406) 455-2138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6147 | Montana |
Profile Details
| NPI number | 1235130105 |
|---|---|
| LBN Legal business name | Speer, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | May 28th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235130105 | NPPES |
| Montana | MEDICAID | 061608 |
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