Andrew, Jaclyn Jo

Andrew, Jaclyn Jo is an individual health care provider with primary practice located at 4600 Taft Blvd , Wichita Falls TX 76308-4935. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Andrew, Jaclyn Jo can be contacted via phone (940) 691-1710.

Contact Information

Primary practice address
4600 Taft Blvd Wichita Falls TX 76308-4935
Fax: (940) 691-2193
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 111348 Texas

Profile Details

NPI number 1730306572
LBN Legal business name Andrew, Jaclyn Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 18 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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