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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427043876 | NPPES |
| Indiana | MEDICAID | 200301610 | |
| Indiana | Other | 000000617069 | |
| Indiana | Other | P01085780 |
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