Jenkins, Dexter L

Jenkins, Dexter L is an individual health care provider with primary practice located at 7301 Poe Ave , Dayton OH 45414-2559. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jenkins, Dexter L can be contacted via phone (937) 280-4631.

Contact Information

Primary practice address
7301 Poe Ave Dayton OH 45414-2559
Phone: (937) 280-4631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 178181 Ohio

Profile Details

NPI number 1083261432
LBN Legal business name Jenkins, Dexter L
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2019
Last updated Sep 17th, 2021 - about 5 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 1083261432 NPPES
Ohio Other 1326012360 AGENCY NPI

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