Klein, Jerry Bradley

Klein, Jerry Bradley is an sole proprietor health care provider with primary practice located at 475 M St , Crescent City CA 95531-4129. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Klein, Jerry Bradley can be contacted via phone (707) 465-3663.

Contact Information

Primary practice address
475 M St Crescent City CA 95531-4129
Phone: (707) 465-3663
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 33188 California

Profile Details

NPI number 1639471618
LBN Legal business name Klein, Jerry Bradley
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2010
Last updated Nov 24th, 2010 - about 14 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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