Roger, Jeremy
Roger, Jeremy is an sole proprietor health care provider with primary practice located at 220 Greenfield Ave , San Anselmo CA 94960-2416. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Roger, Jeremy can be contacted via phone (415) 457-4454.Contact Information
Primary practice address
220 Greenfield Ave
San Anselmo CA 94960-2416
Phone: (415) 457-4454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 303742 | California |
Profile Details
| NPI number | 1275240848 |
|---|---|
| LBN Legal business name | Roger, Jeremy |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2022 |
| Last updated | May 31st, 2023 - 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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