Alfred, Jeremy
Alfred, Jeremy is an individual health care provider with primary practice located at 238 Lawrence St , Kilgore TX 75662-2610. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Alfred, Jeremy can be contacted via phone (903) 981-0617.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 34132 | Texas |
Profile Details
| NPI number | 1528549862 |
|---|---|
| LBN Legal business name | Alfred, Jeremy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2018 |
| Last updated | Aug 24th, 2018 - about 7 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 | 1528549862 | NPPES |
| Texas | Other | 34132 | DENTAL LICENSE |
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