Roy, Jerry C

Roy, Jerry C is an individual health care provider with primary practice located at 1412 Elba Hwy , Troy AL 36079-6020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roy, Jerry C can be contacted via phone (334) 566-8822.

Contact Information

Primary practice address
1412 Elba Hwy Troy AL 36079-6020
Fax: (334) 808-8942
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19476 New Hampshire

Profile Details

NPI number 1780694943
LBN Legal business name Roy, Jerry C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jan 7th, 2022 - about 3 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 1780694943 NPPES
New Hampshire MEDICAID 3116336
New Hampshire Other T400632270

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