Ross, Jeremiah
Ross, Jeremiah is an sole proprietor health care provider with primary practice located at 4647 Clyde Morris Blvd Unit 501 , Port Orange FL 32129-3001. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Ross, Jeremiah can be contacted via phone (386) 767-3752.Contact Information
Primary practice address
4647 Clyde Morris Blvd Unit 501
Port Orange FL 32129-3001
Phone: (386) 767-3752
Fax: (772) 675-9100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X |
Profile Details
| NPI number | 1639593502 |
|---|---|
| LBN Legal business name | Ross, Jeremiah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2014 |
| Last updated | May 27th, 2019 - about 5 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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