Jinkerson, Jeremy Dale

Jinkerson, Jeremy Dale is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Jinkerson, Jeremy Dale can be contacted via phone (210) 916-7641.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (210) 916-7641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810005876 Virginia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0810005876 Virginia

Profile Details

NPI number 1760629315
LBN Legal business name Jinkerson, Jeremy Dale
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2009
Last updated Jul 21st, 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.

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