Goforth, Jeremy Benjamin

Goforth, Jeremy Benjamin is an sole proprietor health care provider with primary practice located at 2815 Bonnie Ln , Stockton CA 95204-4411. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as his primary health care specialty. Goforth, Jeremy Benjamin can be contacted via phone (925) 381-1187.

Contact Information

Primary practice address
2815 Bonnie Ln Stockton CA 95204-4411
Phone: (925) 381-1187
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X California

Profile Details

NPI number 1871016238
LBN Legal business name Goforth, Jeremy Benjamin
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2017
Last updated Jul 18th, 2017 - about 8 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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