Schermerhorn, Jeffrey Wade
Schermerhorn, Jeffrey Wade is an individual health care provider with primary practice located at 104 Ansley Dr , Dahlonega GA 30533-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Schermerhorn, Jeffrey Wade can be contacted via phone (706) 867-4116.Contact Information
Primary practice address
104 Ansley Dr
Dahlonega GA 30533-1614
Phone: (706) 867-4116
Fax: (706) 867-4120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 035327 | Georgia |
Profile Details
| NPI number | 1770584864 |
|---|---|
| LBN Legal business name | Schermerhorn, Jeffrey Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Oct 4th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770584864 | NPPES |
| Georgia | MEDICAID | 000489354B | |
| Georgia | Other | 506740 |
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