Allen, Jeremy Gordon
Allen, Jeremy Gordon is an sole proprietor health care provider with primary practice located at 2555 Silverton Rd Ne , Salem OR 97301-0837. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Allen, Jeremy Gordon can be contacted via phone (971) 283-2776.Contact Information
Primary practice address
2555 Silverton Rd Ne
Salem OR 97301-0837
Phone: (971) 283-2776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1003308917 |
|---|---|
| LBN Legal business name | Allen, Jeremy Gordon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2018 |
| Last updated | Oct 2nd, 2018 - about 6 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.
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