Oestmann, Jerry L.

Oestmann, Jerry L. is an sole proprietor health care provider with primary practice located at 1730 Dunlawton Ave Suite 3, Port Orange FL 32127-8985. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Oestmann, Jerry L. can be contacted via phone (386) 957-3905.

Contact Information

Primary practice address
1730 Dunlawton Ave Suite 3 Port Orange FL 32127-8985
Phone: (386) 957-3905
Fax: (386) 402-8992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 188 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 396 Nebraska
Behavioral Health & Social Service Providers / Psychologist 103T00000X 620 Nebraska
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY9026 Florida

Profile Details

NPI number 1790858959
LBN Legal business name Oestmann, Jerry L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Feb 13th, 2019 - about 7 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 1790858959 NPPES
Nebraska MEDICAID 47052851500
Nebraska MEDICAID 47052851509
Nebraska Other 68505B002
Nebraska Other 345680000
Nebraska MEDICAID 47075636998
Nebraska Other 80023
Nebraska MEDICAID 10025208600
Nebraska Other 81118
Nebraska MEDICAID 10025208000
Nebraska Other 250307
Nebraska Other 098935
Nebraska MEDICAID 1002550710
Nebraska MEDICAID 10025668200
Nebraska Other 345680000
Nebraska Other 349507000
Nebraska MEDICAID 47052851502
Nebraska MEDICAID 47052851503
Nebraska Other 85731
Nebraska MEDICAID 47052851581
Nebraska MEDICAID 10025208700
Nebraska MEDICAID 47052851504
Nebraska MEDICAID 47075636930

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