Weaver, Jeremy

Weaver, Jeremy is an individual health care provider with primary practice located at 207 W 3Rd St , The Dalles OR 97058-1734. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Weaver, Jeremy can be contacted via phone (541) 296-5452.

Contact Information

Primary practice address
207 W 3Rd St The Dalles OR 97058-1734
Phone: (541) 296-5452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1437442696
LBN Legal business name Weaver, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated Oct 21st, 2015 - about 9 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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