Gerard, Jody

Gerard, Jody is an sole proprietor health care provider with primary practice located at 8 Wright St Ste 107 , Westport CT 06880-3114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gerard, Jody can be contacted via phone (203) 895-2355.

Contact Information

Primary practice address
8 Wright St Ste 107 Westport CT 06880-3114
Phone: (203) 895-2355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200200903 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 48064 Connecticut
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 264672 New York

Profile Details

NPI number 1144229006
LBN Legal business name Gerard, Jody
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Jul 23rd, 2020 - about 6 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 1144229006 NPPES
North Carolina MEDICAID 89133FU
North Carolina Other E3148
North Carolina Other 133FU

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