King, Jeremy Michael

King, Jeremy Michael is an individual health care provider with primary practice located at 1100 W 21St St , Clovis NM 88101-4151. He recently has only one registered license in Nursing Service Providers / Community Health, which is considered as his primary health care specialty. King, Jeremy Michael can be contacted via phone (575) 769-2345.

Contact Information

Primary practice address
1100 W 21St St Clovis NM 88101-4151
Fax: (575) 769-9013
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 53940 New Mexico

Profile Details

NPI number 1821689001
LBN Legal business name King, Jeremy Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2021
Last updated Jan 29th, 2021 - about 4 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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