Jernigan, Jeremy Todd
Jernigan, Jeremy Todd is an individual health care provider with primary practice located at 2045 E Pass Rd Ste B , Gulfport MS 39507-3761. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jernigan, Jeremy Todd can be contacted via phone (228) 896-7574.Contact Information
Primary practice address
2045 E Pass Rd Ste B
Gulfport MS 39507-3761
Phone: (228) 896-7574
Fax: (228) 896-7579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1065 | Mississippi |
Profile Details
| NPI number | 1194864165 |
|---|---|
| LBN Legal business name | Jernigan, Jeremy Todd |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Mar 15th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194864165 | NPPES |
| Mississippi | Other | 342005143 | TAX IDENTIFICATION NUMBER |
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