Vandehurst, Jeremy Scott

Vandehurst, Jeremy Scott is an sole proprietor health care provider with primary practice located at 2170 South Ave # B , South Lake Tahoe CA 96150-7008. He recently has 5 registered licenses in different health care specialties including Other Service Providers / Health Educator, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist, Other Service Providers / Prevention Professional. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Vandehurst, Jeremy Scott can be contacted via phone (530) 208-8253.

Contact Information

Primary practice address
2170 South Ave # B South Lake Tahoe CA 96150-7008
Phone: (530) 208-8253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 0506428 Nevada
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0506428 Nevada
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0506428 Nevada
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X 0506428 Nevada
Other Service Providers / Prevention Professional 405300000X 0506428 Nevada
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 0506428 Nevada

Profile Details

NPI number 1861027625
LBN Legal business name Vandehurst, Jeremy Scott
Credentials L-AT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2020
Last updated Mar 11th, 2020 - about 6 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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