Green, Jeremy D

Green, Jeremy D is an individual health care provider with primary practice located at 293 S Main St , Logan UT 84321-5203. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Green, Jeremy D can be contacted via phone (435) 753-4133.

Contact Information

Primary practice address
293 S Main St Logan UT 84321-5203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 10966451-4101 Utah

Profile Details

NPI number 1295372522
LBN Legal business name Green, Jeremy D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2019
Last updated Dec 5th, 2019 - about 6 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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