John, Jerel
John, Jerel is an individual health care provider with primary practice located at 90 S Bedford Rd , Mount Kisco NY 10549-3412. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. John, Jerel can be contacted via phone (914) 241-1050.Contact Information
Primary practice address
90 S Bedford Rd
Mount Kisco NY 10549-3412
Phone: (914) 241-1050
Fax: (914) 242-1412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6545 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 340434 | New York |
Profile Details
| NPI number | 1528511409 |
|---|---|
| LBN Legal business name | John, Jerel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2016 |
| Last updated | Jul 22nd, 2024 - about 2 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 | 1528511409 | NPPES |
| New York | MEDICAID | 00547351 |
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