Marty, Jerry John

Marty, Jerry John is an individual health care provider with primary practice located at 4230 Burnham Ave , Las Vegas NV 89119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Marty, Jerry John can be contacted via phone (702) 733-7866.

Contact Information

Primary practice address
4230 Burnham Ave Las Vegas NV 89119
Phone: (702) 733-7866
Fax: (702) 792-1319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 11290 Nevada
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11290 Nevada

Profile Details

NPI number 1740297423
LBN Legal business name Marty, Jerry John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 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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