Delagarza, Jerald Albert

Delagarza, Jerald Albert is an individual health care provider with primary practice located at 288 S Ridgecrest Ave Suite 100, Rutherfordton NC 28139-2838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Delagarza, Jerald Albert can be contacted via phone (828) 287-9325.

Contact Information

Primary practice address
288 S Ridgecrest Ave Suite 100 Rutherfordton NC 28139-2838
Phone: (828) 287-9325
Fax: (828) 287-9709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200200513 North Carolina

Profile Details

NPI number 1962411892
LBN Legal business name Delagarza, Jerald Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jan 4th, 2022 - about 4 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 1962411892 NPPES
North Carolina MEDICAID 891323H
North Carolina Other 1323H

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