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Contact Information

JERALD C GIFFORD
1411 MARK ALLEN LN STE G
MURFREESBORO, TN37129-5556
 Phone: 662-871-7270
 Fax: 844-414-0376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for JERALD C GIFFORD · (Male)

NPI Number 1851837652
Status Active
Credentials
Entity Individual
Enumeration date 01/17/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # CPO2599
  • TN License # ORT0000000099
  • TN License # PRO0000000077
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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