Smith, Jeremy Lynn
Smith, Jeremy Lynn is an individual health care provider with primary practice located at 2020 N 12Th St , Grand Junction CO 81501-2914. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Smith, Jeremy Lynn can be contacted via phone (970) 245-0484.Contact Information
Primary practice address
2020 N 12Th St
Grand Junction CO 81501-2914
Phone: (970) 245-0484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1780634113 |
|---|---|
| LBN Legal business name | Smith, Jeremy Lynn |
| Credentials | MA., ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780634113 | NPPES |
| Colorado | Other | 2255A2300X | ATHLETIC TRAINER |
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