Jerome, William P
Jerome, William P is an individual health care provider with primary practice located at 4480 Utica Ridge Rd Suite 2230, Bettendorf IA 52722-1644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jerome, William P can be contacted via phone (563) 742-5150.Contact Information
Primary practice address
4480 Utica Ridge Rd Suite 2230
Bettendorf IA 52722-1644
Phone: (563) 742-5150
Fax: (563) 742-5165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28945 | Iowa |
Profile Details
| NPI number | 1215915855 |
|---|---|
| LBN Legal business name | Jerome, William P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Feb 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215915855 | NPPES |
| Iowa | MEDICAID | 1215915855 | |
| Iowa | Other | 110228331 | |
| Iowa | MEDICAID | 3151225 |
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