Dejack, Anthony B

Dejack, Anthony B is an individual health care provider with primary practice located at 1836 Fremont St , Ashland OR 97520-2537. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Dejack, Anthony B can be contacted via phone (541) 482-5792.

Contact Information

Primary practice address
1836 Fremont St Ashland OR 97520-2537
Phone: (541) 482-5792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1023281201
LBN Legal business name Dejack, Anthony B
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 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.

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