Ezell, Jerry

Ezell, Jerry is an sole proprietor health care provider with primary practice located at 194 Porter Rd , Kalama WA 98625-9698. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Ezell, Jerry can be contacted via phone (360) 673-3488.

Contact Information

Primary practice address
194 Porter Rd Kalama WA 98625-9698
Phone: (360) 673-3488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X RN60545703 Washington

Profile Details

NPI number 1750778346
LBN Legal business name Ezell, Jerry
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2015
Last updated Apr 21st, 2015 - about 9 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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