Wise, Jessie G

Wise, Jessie G is an individual health care provider with primary practice located at 1501 6Th St , La Grande OR 97850-2419. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Wise, Jessie G can be contacted via phone (541) 962-0162.

Contact Information

Primary practice address
1501 6Th St La Grande OR 97850-2419
Phone: (541) 962-0162
Fax: (541) 962-0162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 18-CRM-092 Oregon

Profile Details

NPI number 1174012041
LBN Legal business name Wise, Jessie G
Credentials CRM
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2018
Last updated May 7th, 2018 - about 7 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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