Geddis, Jerron

Geddis, Jerron is an sole proprietor health care provider with primary practice located at 5421 S May St , Chicago IL 60609-6052. He recently has 4 registered licenses in different health care specialties including Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Transportation Services / Transportation Broker. Transportation Services / Non-emergency Medical Transport (VAN) is his primary health care specialty. Geddis, Jerron can be contacted via phone (773) 354-5421.

Contact Information

Primary practice address
5421 S May St Chicago IL 60609-6052
Phone: (773) 354-5421
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Secured Medical Transport (VAN) 343800000X G32042068362 Illinois
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X G32042068362 Illinois
Transportation Services / Private Vehicle 347C00000X G32042068362 Illinois
Transportation Services / Transportation Broker 347E00000X G32042068362 Illinois

Profile Details

NPI number 1073938528
LBN Legal business name Geddis, Jerron
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2014
Last updated Feb 20th, 2014 - about 12 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 1073938528 NPPES
Illinois MEDICAID 46-4868691

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