Waldrup, Jonel

Waldrup, Jonel is an individual health care provider with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Waldrup, Jonel can be contacted via phone (541) 883-1030.

Contact Information

Primary practice address
2210 N Eldorado Ave Klamath Falls OR 97601
Phone: (541) 883-1030
Fax: (541) 884-2338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1467859710
LBN Legal business name Waldrup, Jonel
Credentials BS, QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2014
Last updated Jun 5th, 2018 - about 7 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 1467859710 NPPES
Oregon MEDICAID 1720105489

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