Carr, Jeral W
Carr, Jeral W is an individual health care provider with primary practice located at 1289 Sw State Road 47 , Lake City FL 32025-0484. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Carr, Jeral W can be contacted via phone (386) 755-0421.Contact Information
Primary practice address
1289 Sw State Road 47
Lake City FL 32025-0484
Phone: (386) 755-0421
Fax: (386) 487-1234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9102567 | Florida |
Profile Details
| NPI number | 1326002452 |
|---|---|
| LBN Legal business name | Carr, Jeral W |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Dec 11th, 2009 - about 17 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 | 1326002452 | NPPES |
| Florida | Other | PA9102567 | MEDICAL LICENSE # |
| Florida | Other | 363A00000X | MEDICAL LICENSE # |
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