Hitchcock, Jeremy John

Hitchcock, Jeremy John is an individual health care provider with primary practice located at 495 Sw Ramsey Ave , Grants Pass OR 97527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hitchcock, Jeremy John can be contacted via phone (541) 476-6644.

Contact Information

Primary practice address
495 Sw Ramsey Ave Grants Pass OR 97527
Phone: (541) 476-6644
Fax: (541) 472-5673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD28543 Oregon
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD28543 Oregon

Profile Details

NPI number 1528265097
LBN Legal business name Hitchcock, Jeremy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Aug 13th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528265097 NPPES
Oregon MEDICAID 025998

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