Amburn, Jesse P
Amburn, Jesse P is an sole proprietor health care provider with primary practice located at 3414 Golden Rd , Tyler TX 75701-8336. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Amburn, Jesse P can be contacted via phone (903) 939-7500.Contact Information
Primary practice address
3414 Golden Rd
Tyler TX 75701-8336
Phone: (903) 939-7500
Fax: (903) 531-0179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT2013 | Texas |
Profile Details
| NPI number | 1992991947 |
|---|---|
| LBN Legal business name | Amburn, Jesse P |
| Credentials | LAT,ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2007 |
| Last updated | Sep 23rd, 2007 - about 17 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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