Ferrell, Jerry L
Ferrell, Jerry L is an individual health care provider with primary practice located at 555 W Wackerly St , Midland MI 48640-4710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ferrell, Jerry L can be contacted via phone (989) 631-9515.Contact Information
Primary practice address
555 W Wackerly St
Midland MI 48640-4710
Phone: (989) 631-9515
Fax: (989) 839-8817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | JF052167 | Michigan |
Profile Details
| NPI number | 1154390409 |
|---|---|
| LBN Legal business name | Ferrell, Jerry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154390409 | NPPES |
| Michigan | MEDICAID | 2637512 |
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