Zepeda, Berney Smith

Zepeda, Berney Smith is an individual health care provider with primary practice located at 1045 Teviot Pl Nw , Salem OR 97304-3111. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Zepeda, Berney Smith can be contacted via phone (503) 779-5090.

Contact Information

Primary practice address
1045 Teviot Pl Nw Salem OR 97304-3111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 235236 Oregon

Profile Details

NPI number 1003503426
LBN Legal business name Zepeda, Berney Smith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2023
Last updated Apr 20th, 2023 - about 2 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 1003503426 NPPES
Oregon MEDICAID 1104513092

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