Jerde, Richard S
Jerde, Richard S is an individual health care provider with primary practice located at 10 E 31St St , Kearney NE 68847-2918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jerde, Richard S can be contacted via phone (308) 234-5520.Contact Information
Primary practice address
10 E 31St St
Kearney NE 68847-2918
Phone: (308) 234-5520
Fax: (308) 236-6590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 22386 | Nebraska |
Profile Details
| NPI number | 1902884513 |
|---|---|
| LBN Legal business name | Jerde, Richard S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jun 17th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902884513 | NPPES |
| Other | P00050480 | RAILROAD MEDICARE |
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