Richardson, Jeannie Lynn
Richardson, Jeannie Lynn is an sole proprietor health care provider with primary practice located at 4590 Swegle Rd Ne , Salem OR 97301-2012. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Richardson, Jeannie Lynn can be contacted via phone (503) 371-6739.Contact Information
Primary practice address
4590 Swegle Rd Ne
Salem OR 97301-2012
Phone: (503) 371-6739
Fax: (503) 763-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | Oregon |
Profile Details
| NPI number | 1154471928 |
|---|---|
| LBN Legal business name | Richardson, Jeannie Lynn |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1154471928 | NPPES |
| Oregon | MEDICAID | 098051 |
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