Ford, Gerald P

Ford, Gerald P is an sole proprietor health care provider with primary practice located at 2600 S Rural Rd Ste B , Tempe AZ 85282-2448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ford, Gerald P can be contacted via phone (480) 967-3381.

Contact Information

Primary practice address
2600 S Rural Rd Ste B Tempe AZ 85282-2448
Phone: (480) 967-3381
Fax: (480) 967-0755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 7813 Arizona

Profile Details

NPI number 1972588804
LBN Legal business name Ford, Gerald P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Sep 7th, 2018 - about 8 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 1972588804 NPPES
Arizona Other 180005504 RAILROAD MEDICARE
Arizona MEDICAID 246706 RAILROAD MEDICARE
Arizona Other AZ0017680 RAILROAD MEDICARE

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