Lockard, Jerry W

Lockard, Jerry W is an individual health care provider with primary practice located at 432 16Th St Suite B, Ashland KY 41101-7693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lockard, Jerry W can be contacted via phone (606) 329-9335.

Contact Information

Primary practice address
432 16Th St Suite B Ashland KY 41101-7693
Phone: (606) 329-9335
Fax: (606) 324-6383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 02431 Kentucky

Profile Details

NPI number 1669466058
LBN Legal business name Lockard, Jerry W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Aug 4th, 2011 - about 15 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 1669466058 NPPES
Ohio MEDICAID 0129980
Ohio MEDICAID 64024318
Ohio MEDICAID 0079552000

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