Jack, Kellie Jeannie
Jack, Kellie Jeannie is an sole proprietor health care provider with primary practice located at 720 Wood St , Eureka CA 95501-4413. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jack, Kellie Jeannie can be contacted via phone (707) 268-2990.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1437305265 |
---|---|
LBN Legal business name | Jack, Kellie Jeannie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 12th, 2008 |
Last updated | Apr 4th, 2014 - about 11 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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