Back, Jamie L

Back, Jamie L is an sole proprietor health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / EEG, which is considered as her primary health care specialty. Back, Jamie L can be contacted via phone (270) 956-0088.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 956-0088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / EEG 246ZE0500X 8325 Tennessee

Profile Details

NPI number 1881837755
LBN Legal business name Back, Jamie L
Credentials REGISTERED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2009
Last updated Apr 8th, 2009 - about 15 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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