Gendron, Jesse P

Gendron, Jesse P is an individual health care provider with primary practice located at 331 Sijen Ave , Whiteman Afb MO 65305-1269. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gendron, Jesse P can be contacted via phone (660) 687-4341.

Contact Information

Primary practice address
331 Sijen Ave Whiteman Afb MO 65305-1269
Phone: (660) 687-4341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801096773 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1144496043
LBN Legal business name Gendron, Jesse P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated Nov 12th, 2021 - about 4 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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