Phelps, Jon Clifford

Phelps, Jon Clifford is an individual health care provider with primary practice located at 238 3Rd Ave Se , Albany OR 97321-2857. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Phelps, Jon Clifford can be contacted via phone (541) 791-3411.

Contact Information

Primary practice address
238 3Rd Ave Se Albany OR 97321-2857
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1134768633
LBN Legal business name Phelps, Jon Clifford
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2019
Last updated Dec 31st, 2019 - about 5 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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