Smith, Jessica Hanne
Smith, Jessica Hanne is an sole proprietor health care provider with primary practice located at 1580 Nw 17Th St , Corvallis OR 97330-2532. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Smith, Jessica Hanne can be contacted via phone (541) 360-3195.Contact Information
Primary practice address
1580 Nw 17Th St
Corvallis OR 97330-2532
Phone: (541) 360-3195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Doula | 374J00000X | THW000004389 | Oregon |
Profile Details
| NPI number | 1063037695 |
|---|---|
| LBN Legal business name | Smith, Jessica Hanne |
| Credentials | THW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2020 |
| Last updated | Jun 9th, 2020 - about 4 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 | 1063037695 | NPPES |
| Oregon | MEDICAID | THW000004389 |
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