Albert, Jack Raymond

Albert, Jack Raymond is an sole proprietor health care provider with primary practice located at 207 Physical Education Building Eastern Washington University, Cheney WA 99004-2476. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Albert, Jack Raymond can be contacted via phone (509) 359-6399.

Contact Information

Primary practice address
207 Physical Education Building Eastern Washington University Cheney WA 99004-2476
Phone: (509) 359-6399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1790458495
LBN Legal business name Albert, Jack Raymond
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2021
Last updated Jul 28th, 2021 - about 3 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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