Atchison, Jack Dallas

Atchison, Jack Dallas is an individual health care provider with primary practice located at 1111 Pender Ln , Greensboro NC 27408-6817. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Atchison, Jack Dallas can be contacted via phone (336) 255-0947.

Contact Information

Primary practice address
1111 Pender Ln Greensboro NC 27408-6817
Phone: (336) 255-0947
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A5265 North Carolina

Profile Details

NPI number 1992376248
LBN Legal business name Atchison, Jack Dallas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2021
Last updated Jul 8th, 2021 - about 4 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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