Colegrove, Jarred Ryan
Colegrove, Jarred Ryan is an individual health care provider with primary practice located at 1335 Juanita Ave , Gainesville GA 30501-1725. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Colegrove, Jarred Ryan can be contacted via phone (770) 535-0550.Contact Information
Primary practice address
1335 Juanita Ave
Gainesville GA 30501-1725
Phone: (770) 535-0550
Fax: (770) 535-1007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 812 | West Virginia |
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR007628 | Georgia |
Profile Details
| NPI number | 1912908286 |
|---|---|
| LBN Legal business name | Colegrove, Jarred Ryan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Sep 20th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912908286 | NPPES |
| North Dakota | MEDICAID | 2513506 | |
| North Dakota | Other | 550785922005 | |
| North Dakota | Other | 7668546 | |
| North Dakota | Other | 8538660 | |
| North Dakota | Other | 550785922 | |
| North Dakota | Other | WV00812 | |
| North Dakota | MEDICAID | 3810000793 |
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