Bettinger, Jerry J

Bettinger, Jerry J is an individual health care provider with primary practice located at 4801 Troup Hwy Ste 201, Tyler TX 75703-2356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bettinger, Jerry J can be contacted via phone (903) 526-7055.

Contact Information

Primary practice address
4801 Troup Hwy Ste 201 Tyler TX 75703-2356
Phone: (903) 526-7055
Fax: (903) 593-4303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E6235 Texas

Profile Details

NPI number 1427038801
LBN Legal business name Bettinger, Jerry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 16th, 2013 - about 13 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 1427038801 NPPES
Texas MEDICAID 115025205
Texas MEDICAID 143629701

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