King, Jeremy

King, Jeremy is an individual health care provider with primary practice located at Hwy 160 Mp 394.3 , Kayenta AZ 86033-0368. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. King, Jeremy can be contacted via phone (928) 697-4100.

Contact Information

Primary practice address
Hwy 160 Mp 394.3 Kayenta AZ 86033-0368
Fax: (928) 697-4029
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X R104770 Arkansas

Profile Details

NPI number 1770192973
LBN Legal business name King, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2020
Last updated Jul 24th, 2020 - about 5 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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