Jessup, Iris Ramona

Jessup, Iris Ramona is an sole proprietor health care provider with primary practice located at 3030 S Jones Blvd Ste 110 , Las Vegas NV 89146-6793. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jessup, Iris Ramona can be contacted via phone (702) 562-1238.

Contact Information

Primary practice address
3030 S Jones Blvd Ste 110 Las Vegas NV 89146-6793
Phone: (702) 562-1238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X IC-856 Nevada

Profile Details

NPI number 1780084152
LBN Legal business name Jessup, Iris Ramona
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2014
Last updated Sep 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780084152 NPPES
Nevada Other 2926-S BOARD SOCIAL WORK LICENSE NUMBER
Nevada Other IC-856 BOARD SOCIAL WORK LICENSE NUMBER

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