Fry, Jeffrey Patrick
Fry, Jeffrey Patrick is an sole proprietor health care provider with primary practice located at 809 E Jackson St , Medford OR 97504-6713. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Fry, Jeffrey Patrick can be contacted via phone (541) 690-2906.Contact Information
Primary practice address
809 E Jackson St
Medford OR 97504-6713
Phone: (541) 690-2906
Fax: (458) 226-2667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3208 | Oregon |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | SS 903 | Florida |
Profile Details
| NPI number | 1144428855 |
|---|---|
| LBN Legal business name | Fry, Jeffrey Patrick |
| Credentials | PH.D., NCSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Sep 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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