Terry, Jeffrey

Terry, Jeffrey is an individual health care provider with primary practice located at 4375 Us Highway 17 Ste 103 , Fleming Island FL 32003-4832. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Terry, Jeffrey can be contacted via phone (904) 269-0886.

Contact Information

Primary practice address
4375 Us Highway 17 Ste 103 Fleming Island FL 32003-4832
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 2687 Florida

Profile Details

NPI number 1043766496
LBN Legal business name Terry, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2016
Last updated Aug 26th, 2016 - about 8 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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