Belleque, Jeremy

Belleque, Jeremy is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Belleque, Jeremy can be contacted via phone (541) 672-2691.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Phone: (541) 672-2691
Fax: (833) 299-8415
Website:
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Health care specialties

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

Profile Details

NPI number 1417616848
LBN Legal business name Belleque, Jeremy
Credentials QMHA-R
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2021
Last updated Dec 15th, 2021 - about 5 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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