Gerard, Mary Elizabeth

Gerard, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 333 N 18Th Ave Ste B4 , Pocatello ID 83201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Gerard, Mary Elizabeth can be contacted via phone (208) 232-2233.

Contact Information

Primary practice address
333 N 18Th Ave Ste B4 Pocatello ID 83201
Phone: (208) 232-2233
Fax: (208) 232-2299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M7059 Idaho

Profile Details

NPI number 1578667739
LBN Legal business name Gerard, Mary Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2006
Last updated Jun 8th, 2016 - about 10 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 1578667739 NPPES
Idaho MEDICAID 002119100
Idaho Other 70599
Idaho Other 000010008867

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