Herman, Jeannie

Herman, Jeannie is an individual health care provider with primary practice located at 140 S Holly St , Medford OR 97501-3113. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Herman, Jeannie can be contacted via phone (541) 774-3879.

Contact Information

Primary practice address
140 S Holly St Medford OR 97501-3113
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1457723058
LBN Legal business name Herman, Jeannie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2015
Last updated Oct 22nd, 2015 - about 11 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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