Perry, Jeffrey

Perry, Jeffrey is an individual health care provider with primary practice located at 1100 Carson Ave Ste 201, La Junta CO 81050-2751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perry, Jeffrey can be contacted via phone (719) 383-5900.

Contact Information

Primary practice address
1100 Carson Ave Ste 201 La Junta CO 81050-2751
Phone: (719) 383-5900
Fax: (719) 383-6533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40581 Colorado

Profile Details

NPI number 1033107255
LBN Legal business name Perry, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 8th, 2007 - about 18 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 1033107255 NPPES
Colorado MEDICAID 60555254
Colorado Other 840706945126
Colorado Other PE657662

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