Jerome, Carl S

Jerome, Carl S is an sole proprietor health care provider with primary practice located at 68 Beal Pkwy Sw , Fort Walton Beach FL 32548-5331. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jerome, Carl S can be contacted via phone (850) 362-6767.

Contact Information

Primary practice address
68 Beal Pkwy Sw Fort Walton Beach FL 32548-5331
Phone: (850) 362-6767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 009236 Georgia
Chiropractic Providers / Chiropractor 111N00000X 11507 Florida

Profile Details

NPI number 1598146714
LBN Legal business name Jerome, Carl S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2015
Last updated Feb 14th, 2018 - about 8 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 1598146714 NPPES
Other 1790297588 GROUP NPI

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