Addesso, Jack Louis

Addesso, Jack Louis is an individual health care provider with primary practice located at 7324 Southwest Freeway Suite 1550, Houston TX 77074-2053. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Addesso, Jack Louis can be contacted via phone (713) 779-9800.

Contact Information

Primary practice address
7324 Southwest Freeway Suite 1550 Houston TX 77074-2053
Phone: (713) 779-9800
Fax: (713) 779-9813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238.000021 Illinois
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 238.000021 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 238.000021 Illinois

Profile Details

NPI number 1376679373
LBN Legal business name Addesso, Jack Louis
Credentials RSA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Oct 4th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376679373 NPPES
Illinois Other 238.000021 REGISTERED SURGICAL ASST.

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