- Practice location
- 402 Goodrich Avenue, Kittery, ME 03904
- Phone
- 207-438-1781
- Fax
- —
- Last updated
- January 27, 2025
Jerricson Barlis Peralta is a Military Health Care Provider, Independent Duty Corpsman based in Kittery, ME. Jerricson Barlis Peralta practices in Kittery, ME and has the professional credentials of IDC. The NPI Number for Jerricson Barlis Peralta is 1740719814. The current practice location address for Jerricson Barlis Peralta is 402 Goodrich Avenue, Kittery, ME 03904 and can be reached out via phone at 207-438-1781.
Provider Profile Details
- NPI Number
- 1740719814
- Provider Name
- Jerricson Barlis Peralta
- Credential
- IDC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 402 Goodrich Avenue, Kittery, ME 03904
- Phone Number
- 207-438-1781
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2017
- Last Update Date
- January 27, 2025
- Certification Date
- January 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 402 Goodrich Avenue
Kittery, ME 03904 - City
- Kittery
- State
- Maine
- Zip
- 03904
- Phone Number
- 207-438-1781
Provider Business Mailing Address Details
- Address
- 6850 Mission Gorge RD Apt 1248
San Diego, CA 92120-2478 - City
- San Diego
- State
- CA
- Zip
- 92120-2478
- Phone Number
- 818-263-5345
License Information
- Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Military Health Care Provider, Independent Duty Corpsman providers near Kittery, ME
View all Military Health Care Provider, Independent Duty Corpsman providers in Kittery →- Andrew Azevedo, IDCMilitary Health Care Provider, Independent Duty Corpsman · NPI 1396268595
- Gage D KahnMilitary Health Care Provider, Independent Duty Corpsman · NPI 1023736642
- Haley E Gaudrault, LCPC-CCounselor, Professional · NPI 1124672282
- Michael J O'Keefe Jr., NP-CNurse Practitioner, Family · NPI 1376878181
- Dr. Yuri Ausker, DDSDentist · NPI 1316141666
- Carrie Ann Macleod, NPNurse Practitioner, Family · NPI 1013684471
Frequently Asked Questions
What is the NPI number of Jerricson B Peralta, IDC?
The NPI number of Jerricson B Peralta, IDC is 1740719814. It was assigned on June 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Jerricson B Peralta, IDC?
Jerricson B Peralta, IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).
Where does Jerricson B Peralta, IDC practice?
The practice location is 402 Goodrich Avenue, Kittery, ME 03904. The office can be reached at 207-438-1781 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740719814 directly on the NPPES registry website.