Christmas, Jerry

Christmas, Jerry is an sole proprietor health care provider with primary practice located at 4048 Evans Ave Suite 303, Fort Myers FL 33901-9322. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Christmas, Jerry can be contacted via phone (239) 332-5344.

Contact Information

Primary practice address
4048 Evans Ave Suite 303 Fort Myers FL 33901-9322
Phone: (239) 332-5344
Fax: (239) 332-7246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3190942 Florida

Profile Details

NPI number 1942290135
LBN Legal business name Christmas, Jerry
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Jul 21st, 2008 - about 18 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 1942290135 NPPES
Florida Other G2287 BCBS
Florida MEDICAID 306725400 BCBS

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