Dorn, Jeremiah
Dorn, Jeremiah is an sole proprietor health care provider with primary practice located at 76495 Corbin Rd , Twenynine Palms CA 92277. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dorn, Jeremiah can be contacted via phone (760) 783-5480.Contact Information
Primary practice address
76495 Corbin Rd
Twenynine Palms CA 92277
Phone: (760) 783-5480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1285823039 |
|---|---|
| LBN Legal business name | Dorn, Jeremiah |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Oct 17th, 2007 - about 18 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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