Easley, Jeffrey Alan

Easley, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 1979 Lake Rockaway Rd Nw , Conyers GA 30012-3421. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Easley, Jeffrey Alan can be contacted via phone (678) 343-8191.

Contact Information

Primary practice address
1979 Lake Rockaway Rd Nw Conyers GA 30012-3421
Phone: (678) 343-8191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1598360109
LBN Legal business name Easley, Jeffrey Alan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2020
Last updated Dec 1st, 2020 - about 4 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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