White, Jerry Ray
White, Jerry Ray is an individual health care provider with primary practice located at 613 23Rd St Ste 230 , Ashland KY 41101-2868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. White, Jerry Ray can be contacted via phone (606) 324-4745.Contact Information
Primary practice address
613 23Rd St Ste 230
Ashland KY 41101-2868
Phone: (606) 324-4745
Fax: (606) 324-4941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | TP372 | Kentucky |
Profile Details
| NPI number | 1245655968 |
|---|---|
| LBN Legal business name | White, Jerry Ray |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2014 |
| Last updated | Mar 25th, 2021 - about 3 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 | 1245655968 | NPPES |
| Kentucky | MEDICAID | 7100677090 | |
| Kentucky | MEDICAID | 0416565 |
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