Phipps, Jerald Joe

Phipps, Jerald Joe is an individual health care provider with primary practice located at 504 N Cleveland St , Mount Ayr IA 50854-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phipps, Jerald Joe can be contacted via phone (641) 464-3226.

Contact Information

Primary practice address
504 N Cleveland St Mount Ayr IA 50854-2201
Fax: (614) 464-4476
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02765 Iowa

Profile Details

NPI number 1043288756
LBN Legal business name Phipps, Jerald Joe
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043288756 NPPES
Iowa MEDICAID 2091249

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