Brindley, Jack

Brindley, Jack is an sole proprietor health care provider with primary practice located at 1005 Pennsylvania Ave Suite 212A, Ottumwa IA 52501-6413. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brindley, Jack can be contacted via phone (641) 682-6438.

Contact Information

Primary practice address
1005 Pennsylvania Ave Suite 212A Ottumwa IA 52501-6413
Phone: (641) 682-6438
Fax: (641) 382-4474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17744 Iowa

Profile Details

NPI number 1427133636
LBN Legal business name Brindley, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Jul 20th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427133636 NPPES
Iowa MEDICAID 0131433

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