Avalos, Jack C

Avalos, Jack C is an individual health care provider with primary practice located at 1410 N 4Th St , Clinton IA 52732-2940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Avalos, Jack C can be contacted via phone (563) 244-5642.

Contact Information

Primary practice address
1410 N 4Th St Clinton IA 52732-2940
Phone: (563) 244-5642
Fax: (319) 233-0722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29895 Iowa

Profile Details

NPI number 1689651655
LBN Legal business name Avalos, Jack C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 29th, 2010 - about 14 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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