Harper, Jerry Ronnie

Harper, Jerry Ronnie is an individual health care provider with primary practice located at 1211 Porter Wagoner Blvd # 23 , West Plains MO 65775-1826. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Harper, Jerry Ronnie can be contacted via phone (417) 257-6762.

Contact Information

Primary practice address
1211 Porter Wagoner Blvd # 23 West Plains MO 65775-1826
Phone: (417) 257-6762
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2003022742 Missouri

Profile Details

NPI number 1487851887
LBN Legal business name Harper, Jerry Ronnie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Feb 14th, 2024 - about 2 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 1487851887 NPPES
Missouri MEDICAID 496107004

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