Newbold, Jeremiah James
Newbold, Jeremiah James is an individual health care provider with primary practice located at 17342 Flintwood Pl , Eagle River AK 99577-7025. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Newbold, Jeremiah James can be contacted via phone (907) 696-3339.Contact Information
Primary practice address
17342 Flintwood Pl
Eagle River AK 99577-7025
Phone: (907) 696-3339
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW S 919 | Alaska |
Profile Details
| NPI number | 1790010155 |
|---|---|
| LBN Legal business name | Newbold, Jeremiah James |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2009 |
| Last updated | May 26th, 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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