Pearson, Jerry Kenneth

Pearson, Jerry Kenneth is an individual health care provider with primary practice located at 148 13Th St Suite B, Tell City IN 47586-1937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pearson, Jerry Kenneth can be contacted via phone (812) 547-0333.

Contact Information

Primary practice address
148 13Th St Suite B Tell City IN 47586-1937
Phone: (812) 547-0333
Fax: (812) 547-9852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 071513 Michigan

Profile Details

NPI number 1043252166
LBN Legal business name Pearson, Jerry Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 28th, 2014 - about 11 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 1043252166 NPPES
Michigan Other M036898 CHAMPUS PIN
Michigan Other 0540032 CHAMPUS PIN
Michigan MEDICAID 103426138 CHAMPUS PIN

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