Souza, Jerad Alan

Souza, Jerad Alan is an sole proprietor health care provider with primary practice located at 720 Wood St , Eureka CA 95501-4413. He recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as his primary health care specialty. Souza, Jerad Alan can be contacted via phone (707) 268-2990.

Contact Information

Primary practice address
720 Wood St Eureka CA 95501-4413
Phone: (707) 268-2990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X PT32451 California

Profile Details

NPI number 1013150416
LBN Legal business name Souza, Jerad Alan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2009
Last updated May 15th, 2009 - about 17 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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