King, Jerry J

King, Jerry J is an individual health care provider with primary practice located at 2831 Fort Missoula Rd Suite 232, Missoula MT 59804-7419. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. King, Jerry J can be contacted via phone (406) 728-6101.

Contact Information

Primary practice address
2831 Fort Missoula Rd Suite 232 Missoula MT 59804-7419
Phone: (406) 728-6101
Fax: (406) 721-3278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 770597 Montana

Profile Details

NPI number 1790754463
LBN Legal business name King, Jerry J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1790754463 NPPES
Montana MEDICAID 0023283

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