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NPI Code Detail

MEDICARE: SEAN NATHANIEL JERIG M.D.

MEDICARE: SEAN NATHANIEL JERIG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianBP10037521TX
2207V00000XObstetrics & Gynecology Physician9065004-1205UT
3207V00000XObstetrics & Gynecology Physician35.133175OH

General Provider Information

NPI Number : 1437479896
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN NATHANIEL JERIG M.D.
Provider Business Mailing Address
First Line : 1319 E MAIN ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-4005
Country : US
Telephone Number : 740-687-2229
Fax Number : 740-687-2220
Provider Business Practice Location Address
First Line : 1319 E MAIN ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-4005
Country : US
Telephone Number : 740-687-2229
Fax Number : 740-687-2220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2010
Last Update Date : 06/18/2025

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