Claassen, Jeremy
Claassen, Jeremy is an individual health care provider with primary practice located at 906 Royal Ct , Medford OR 97504. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Claassen, Jeremy can be contacted via phone (541) 414-0519.Contact Information
Primary practice address
906 Royal Ct
Medford OR 97504
Phone: (541) 414-0519
Fax: (541) 842-7774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | D10655 | Oregon |
Profile Details
| NPI number | 1316177199 |
|---|---|
| LBN Legal business name | Claassen, Jeremy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2009 |
| Last updated | Jun 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316177199 | NPPES |
| Oregon | MEDICAID | 227698 |
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