Prudencio, Jeff

Prudencio, Jeff is an individual health care provider with primary practice located at Unit 100298 Box 1 Uss Whirlwind Pc-11, Fpo AE 09591-9800. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Prudencio, Jeff can be contacted via phone (318) 439-2358.

Contact Information

Primary practice address
Unit 100298 Box 1 Uss Whirlwind Pc-11 Fpo AE 09591-9800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1295186419
LBN Legal business name Prudencio, Jeff
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2016
Last updated Jun 29th, 2016 - about 8 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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