Jeffers, Eric Keith
Jeffers, Eric Keith is an sole proprietor health care provider with primary practice located at 1010 E 10Th St , Tucson AZ 85719-5813. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Jeffers, Eric Keith can be contacted via phone (520) 225-6610.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1326261207 |
|---|---|
| LBN Legal business name | Jeffers, Eric Keith |
| Credentials | ED.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 26th, 2007 - about 18 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 | 1326261207 | NPPES |
| Arizona | Other | 598104 | AHCCCS |
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