Whitaker, Jeremy

Whitaker, Jeremy is an individual health care provider with primary practice located at 100 River Valley Blvd , New Richmond OH 45157-8566. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Whitaker, Jeremy can be contacted via phone (513) 553-3114.

Contact Information

Primary practice address
100 River Valley Blvd New Richmond OH 45157-8566
Phone: (513) 553-3114
Fax: (513) 553-1032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1144736059
LBN Legal business name Whitaker, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2017
Last updated Dec 13th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144736059 NPPES
Ohio MEDICAID 0405515

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