Ennis, Jeremy S

Ennis, Jeremy S is an individual health care provider with primary practice located at 1 Boone Rd , Bremerton WA 98312-1894. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ennis, Jeremy S can be contacted via phone (360) 315-4412.

Contact Information

Primary practice address
1 Boone Rd Bremerton WA 98312-1894
Phone: (360) 315-4412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 688 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 688 Nebraska

Profile Details

NPI number 1033270848
LBN Legal business name Ennis, Jeremy S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Apr 28th, 2023 - about 2 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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