Gregory, Jerry

Gregory, Jerry is an individual health care provider with primary practice located at 1921 Stonecipher Blvd , Ada OK 74820. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Gregory, Jerry can be contacted via phone (580) 421-4570.

Contact Information

Primary practice address
1921 Stonecipher Blvd Ada OK 74820
Phone: (580) 421-4570
Fax: (580) 421-6258
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X R0045729 Oklahoma

Profile Details

NPI number 1467400069
LBN Legal business name Gregory, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 7th, 2015 - about 11 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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