Roark, Jeremy B
Roark, Jeremy B is an sole proprietor health care provider with primary practice located at 2650 Shumac Ln Se , Ada MI 49301-9355. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Roark, Jeremy B can be contacted via phone (805) 570-7688.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 24012 | California |
Profile Details
| NPI number | 1578860193 |
|---|---|
| LBN Legal business name | Roark, Jeremy B |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2011 |
| Last updated | Feb 1st, 2024 - about last year |
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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