Pete, Jheremy

Pete, Jheremy is an sole proprietor health care provider with primary practice located at 1718 N 77Th Gln , Phoenix AZ 85035-5053. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Pete, Jheremy can be contacted via phone (623) 337-0256.

Contact Information

Primary practice address
1718 N 77Th Gln Phoenix AZ 85035-5053
Phone: (623) 337-0256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1225708654
LBN Legal business name Pete, Jheremy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2021
Last updated Oct 1st, 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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