Faas, Jessica
Faas, Jessica is an sole proprietor health care provider with primary practice located at 2368 Crater Lake Ave Ste 102 , Medford OR 97504-5006. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Faas, Jessica can be contacted via phone (609) 235-5029.Contact Information
Primary practice address
2368 Crater Lake Ave Ste 102
Medford OR 97504-5006
Phone: (609) 235-5029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1720685068 |
|---|---|
| LBN Legal business name | Faas, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2020 |
| Last updated | Oct 8th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720685068 | NPPES |
| Other | NA | NA |
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