Stroud, Gerald Rex

Stroud, Gerald Rex is an sole proprietor health care provider with primary practice located at 650 Huebner Rd , Fort Riley KS 66442-4030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stroud, Gerald Rex can be contacted via phone (785) 239-8490.

Contact Information

Primary practice address
650 Huebner Rd Fort Riley KS 66442-4030
Phone: (785) 239-8490
Fax: (630) 570-5779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01057059A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01057059A Indiana

Profile Details

NPI number 1427043876
LBN Legal business name Stroud, Gerald Rex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Oct 25th, 2022 - about 2 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 1427043876 NPPES
Indiana MEDICAID 200301610
Indiana Other 000000617069
Indiana Other P01085780

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