Holst, Jeremy D

Holst, Jeremy D is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Holst, Jeremy D can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Phone: (541) 440-3532
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1336864909
LBN Legal business name Holst, Jeremy D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2022
Last updated Oct 6th, 2022 - about 3 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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