Koller, Jamie

Koller, Jamie is an sole proprietor health care provider with primary practice located at 400 S Water St , Elizabeth City NC 27909-4942. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Koller, Jamie can be contacted via phone (252) 333-4569.

Contact Information

Primary practice address
400 S Water St Elizabeth City NC 27909-4942
Phone: (252) 333-4569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A13569 North Carolina

Profile Details

NPI number 1083112809
LBN Legal business name Koller, Jamie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2018
Last updated Jan 26th, 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.

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