Tjarks, Jeremy Ray

Tjarks, Jeremy Ray is an individual health care provider with primary practice located at 2135 S Fremont Ave , Springfield MO 65804-2239. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as his primary health care specialty. Tjarks, Jeremy Ray can be contacted via phone (417) 820-7990.

Contact Information

Primary practice address
2135 S Fremont Ave Springfield MO 65804-2239
Phone: (417) 820-7990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 2009024749 Missouri

Profile Details

NPI number 1992063697
LBN Legal business name Tjarks, Jeremy Ray
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated May 1st, 2012 - about 13 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 1992063697 NPPES
Other 020602071 NATIONAL ATHLETIC TRAINERS ASSOCIATION BOARD OF CERTIFICATION NUMBER
Other 2009024749 NATIONAL ATHLETIC TRAINERS ASSOCIATION BOARD OF CERTIFICATION NUMBER

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