Smallwood, Jeremy K

Smallwood, Jeremy K is an sole proprietor health care provider with primary practice located at 3109 Bienville Blvd , Ocean Springs MS 39564-4361. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant, Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology. Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant is his primary health care specialty. Smallwood, Jeremy K can be contacted via phone (228) 818-1117.

Contact Information

Primary practice address
3109 Bienville Blvd Ocean Springs MS 39564-4361
Phone: (228) 818-1117
Fax: (228) 818-6090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant 243U00000X Mississippi
Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology 2471V0106X Mississippi

Profile Details

NPI number 1124253521
LBN Legal business name Smallwood, Jeremy K
Credentials RPA/RA, RT(R)(VI)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2009
Last updated May 28th, 2009 - about 15 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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