San Diego, Jerry William

San Diego, Jerry William is an individual health care provider with primary practice located at 4101 S 4Th St P And Lms, Leavenworth KS 66048-5014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. San Diego, Jerry William can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St P And Lms Leavenworth KS 66048-5014
Phone: (913) 682-2000
Fax: (913) 758-4193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 024399 Louisiana

Profile Details

NPI number 1285694604
LBN Legal business name San Diego, Jerry William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Aug 4th, 2014 - about 12 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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