De Jurnett, Timothy

De Jurnett, Timothy is an individual health care provider with primary practice located at 4422 N Banner Dr Apt 4 , Long Beach CA 90807-2335. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. De Jurnett, Timothy can be contacted via phone (323) 849-9809.

Contact Information

Primary practice address
4422 N Banner Dr Apt 4 Long Beach CA 90807-2335
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X California

Profile Details

NPI number 1811588668
LBN Legal business name De Jurnett, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2021
Last updated Feb 2nd, 2021 - about 3 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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