Ries, Jeffrey Dean
Ries, Jeffrey Dean is an sole proprietor health care provider with primary practice located at 1310 San Bernardino Rd Suite 101, Upland CA 91786-4979. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ries, Jeffrey Dean can be contacted via phone (909) 579-0779.Contact Information
Primary practice address
1310 San Bernardino Rd Suite 101
Upland CA 91786-4979
Phone: (909) 579-0779
Fax: (909) 579-0789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 20A5138 | California |
Profile Details
| NPI number | 1780647735 |
|---|---|
| LBN Legal business name | Ries, Jeffrey Dean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jul 27th, 2012 - about 12 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 | 1780647735 | NPPES |
| California | MEDICAID | 00AX51380 |
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