Lennon, Jack Robert
Lennon, Jack Robert is an individual health care provider with primary practice located at 1535 N Williams Ave , Portland OR 97227-1885. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Lennon, Jack Robert can be contacted via phone (503) 238-2067.Contact Information
Primary practice address
1535 N Williams Ave
Portland OR 97227-1885
Phone: (503) 238-2067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 138276 | Oregon |
Profile Details
| NPI number | 1194147454 |
|---|---|
| LBN Legal business name | Lennon, Jack Robert |
| Credentials | EMT-B |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2014 |
| Last updated | Jan 6th, 2014 - about 10 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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