Mccauley, Jerry

Mccauley, Jerry is an individual health care provider with primary practice located at 833 Chestnut St Suite 700, Philadelphia PA 19107-4414. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mccauley, Jerry can be contacted via phone (215) 503-3000.

Contact Information

Primary practice address
833 Chestnut St Suite 700 Philadelphia PA 19107-4414
Phone: (215) 503-3000
Fax: (215) 503-4099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD031404E Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD031404E Pennsylvania

Profile Details

NPI number 1023085792
LBN Legal business name Mccauley, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jun 26th, 2019 - about 7 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 1023085792 NPPES
Pennsylvania MEDICAID 001026816

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