Coulter, Jennifer Brooke

Coulter, Jennifer Brooke is an sole proprietor health care provider with primary practice located at 2018 N Eldorado Ave , Klamath Falls OR 97601-6414. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Coulter, Jennifer Brooke can be contacted via phone (541) 850-1358.

Contact Information

Primary practice address
2018 N Eldorado Ave Klamath Falls OR 97601-6414
Phone: (541) 850-1358
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Oregon

Profile Details

NPI number 1932265089
LBN Legal business name Coulter, Jennifer Brooke
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2006
Last updated Jul 9th, 2007 - about 19 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 1932265089 NPPES
Oregon MEDICAID 098240

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