Cody Jenkins, Lillian
Cody Jenkins, Lillian is an individual health care provider with primary practice located at 700 B Cromwell Drive , Greenville NC 27858-5436. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified, which is considered as her primary health care specialty. Cody Jenkins, Lillian can be contacted via phone (252) 830-2094.Contact Information
Primary practice address
700 B Cromwell Drive
Greenville NC 27858-5436
Phone: (252) 830-2094
Fax: (252) 355-7358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified | 227800000X | A1943 | North Carolina |
Profile Details
| NPI number | 1407064470 |
|---|---|
| LBN Legal business name | Cody Jenkins, Lillian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Apr 24th, 2008 - about 16 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 | 1407064470 | NPPES |
| North Carolina | Other | 561924070 | TAX ID |
| North Carolina | MEDICAID | 7492719 | TAX ID |
| North Carolina | Other | 012AG | TAX ID |
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