Twiggs, Jerry D

Twiggs, Jerry D is an individual health care provider with primary practice located at 1240 E 100 S #14 , St. George UT 84790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Twiggs, Jerry D can be contacted via phone (435) 628-8232.

Contact Information

Primary practice address
1240 E 100 S #14 St. George UT 84790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 88-178110-1205 Utah

Profile Details

NPI number 1972583680
LBN Legal business name Twiggs, Jerry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 14 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 1972583680 NPPES
Utah MEDICAID 09165

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