Jeter, Jamal P.
Jeter, Jamal P. is an sole proprietor health care provider with primary practice located at 30915 Lorain Rd Ste 114 , North Olmsted OH 44070-4722. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Jeter, Jamal P. can be contacted via phone (440) 471-4970.Contact Information
Primary practice address
30915 Lorain Rd Ste 114
North Olmsted OH 44070-4722
Phone: (440) 471-4970
Fax: (440) 617-6065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36-003234 | Ohio |
Profile Details
| NPI number | 1124165931 |
|---|---|
| LBN Legal business name | Jeter, Jamal P. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | May 3rd, 2018 - about 6 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 | 1124165931 | NPPES |
| Ohio | MEDICAID | 2220206 |
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