Shoemaker, Jerad Ray

Shoemaker, Jerad Ray is an sole proprietor health care provider with primary practice located at 600 Broadway St , Longview WA 98632-3256. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Shoemaker, Jerad Ray can be contacted via phone (360) 414-2236.

Contact Information

Primary practice address
600 Broadway St Longview WA 98632-3256
Phone: (360) 414-2236
Fax: (360) 414-2024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD60303749 Washington

Profile Details

NPI number 1811150873
LBN Legal business name Shoemaker, Jerad Ray
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2008
Last updated Nov 22nd, 2022 - about 2 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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