Welch, Jerry
Welch, Jerry is an individual health care provider with primary practice located at 1515 Jefferson St , Laurel MS 39440-4244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Welch, Jerry can be contacted via phone (601) 425-4893.Contact Information
Primary practice address
1515 Jefferson St
Laurel MS 39440-4244
Phone: (601) 425-4893
Fax: (601) 428-8633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 05861 | Mississippi |
Profile Details
| NPI number | 1558373530 |
|---|---|
| LBN Legal business name | Welch, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jun 29th, 2024 - about 2 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 | 1558373530 | NPPES |
| Mississippi | MEDICAID | 05107231 | |
| Mississippi | Other | P00300448 |
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