Olive, Jerry Wayne
Olive, Jerry Wayne is an sole proprietor health care provider with primary practice located at 301 Sovereign Ct Suite 105, Ballwin MO 63011-4441. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Olive, Jerry Wayne can be contacted via phone (636) 448-5184.Contact Information
Primary practice address
301 Sovereign Ct Suite 105
Ballwin MO 63011-4441
Phone: (636) 448-5184
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2009012865 | Missouri |
Profile Details
| NPI number | 1437422813 |
|---|---|
| LBN Legal business name | Olive, Jerry Wayne |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2012 |
| Last updated | Feb 16th, 2012 - about 13 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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