Markworth, Jeri L

Markworth, Jeri L is an sole proprietor health care provider with primary practice located at 7539 E Geary Dome Rd , Evansville WY 82636-9692. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Markworth, Jeri L can be contacted via phone (307) 797-0827.

Contact Information

Primary practice address
7539 E Geary Dome Rd Evansville WY 82636-9692
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1255655114
LBN Legal business name Markworth, Jeri L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2010
Last updated Mar 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255655114 NPPES
Wyoming MEDICAID 127038900

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