Mashburn, Jeremy James
Mashburn, Jeremy James is an individual health care provider with primary practice located at 348 Main St , Greenville PA 16125-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mashburn, Jeremy James can be contacted via phone (724) 588-5250.Contact Information
Primary practice address
348 Main St
Greenville PA 16125-2608
Phone: (724) 588-5250
Fax: (724) 588-5253
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34.011238 | Ohio |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS022110 | Pennsylvania |
Profile Details
NPI number | 1285945311 |
---|---|
LBN Legal business name | Mashburn, Jeremy James |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2010 |
Last updated | May 18th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285945311 | NPPES |
Ohio | Other | 34.011238 | OHIO MEDICAL LICENSE |
Ohio | MEDICAID | PENDING | OHIO MEDICAL LICENSE |
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