Mckinsey, Gerald Leroy
Mckinsey, Gerald Leroy is an individual health care provider with primary practice located at 1409 E Briggsmore Ave , Modesto CA 95355-2707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mckinsey, Gerald Leroy can be contacted via phone (209) 524-1211.Contact Information
Primary practice address
1409 E Briggsmore Ave
Modesto CA 95355-2707
Phone: (209) 524-1211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA17303 | California |
Profile Details
| NPI number | 1083669147 |
|---|---|
| LBN Legal business name | Mckinsey, Gerald Leroy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Aug 2nd, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083669147 | NPPES |
| California | Other | CD069A | MEDICARE - GROUP PTAN |
| California | MEDICAID | PA17303 | MEDICARE - GROUP PTAN |
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