Spears, Jimmy

Spears, Jimmy is an sole proprietor health care provider with primary practice located at 1027 Evergreen St , Fairbanks AK 99709-4306. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as his primary health care specialty. Spears, Jimmy can be contacted via phone (907) 451-8164.

Contact Information

Primary practice address
1027 Evergreen St Fairbanks AK 99709-4306
Phone: (907) 451-8164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 3323 Alaska

Profile Details

NPI number 1669681599
LBN Legal business name Spears, Jimmy
Credentials CDCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
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.

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