Mcbride Llc, Jerry

Mcbride Llc, Jerry is an individual health care provider with primary practice located at 301 Hospital Rd , Fulton MS 38843-0519. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcbride Llc, Jerry can be contacted via phone (662) 862-9741.

Contact Information

Primary practice address
301 Hospital Rd Fulton MS 38843-0519
Phone: (662) 862-9741
Fax: (662) 862-3584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 425 Mississippi

Profile Details

NPI number 1447300629
LBN Legal business name Mcbride Llc, Jerry
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 18th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447300629 NPPES
Mississippi MEDICAID 00087670

Popular Providers