Almon, Jetta L
Almon, Jetta L is an individual health care provider with primary practice located at 1207 Se Riverside Dr , Evansville IN 47713-1166. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Almon, Jetta L can be contacted via phone (812) 484-2689.Contact Information
Primary practice address
1207 Se Riverside Dr
Evansville IN 47713-1166
Phone: (812) 484-2689
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 95829 | Indiana |
Profile Details
| NPI number | 1104073519 |
|---|---|
| LBN Legal business name | Almon, Jetta L |
| Credentials | CST, CSFA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2008 |
| Last updated | May 3rd, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104073519 | NPPES |
| Indiana | Other | 000001069797 | ANTHEM BCBS |
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