Smith, Jennifer Jade

Smith, Jennifer Jade is an individual health care provider with primary practice located at 1813 W Harvard Ave Ste 432 , Roseburg OR 97471-8705. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist. Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant is her primary health care specialty. Smith, Jennifer Jade can be contacted via phone (541) 673-4303.

Contact Information

Primary practice address
1813 W Harvard Ave Ste 432 Roseburg OR 97471-8705
Phone: (541) 673-4303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant 243U00000X 08OR1342 Oregon
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 106240 Oregon

Profile Details

NPI number 1386920767
LBN Legal business name Smith, Jennifer Jade
Credentials RPA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2011
Last updated Oct 28th, 2011 - about 15 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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