Cacic, Jack Joseph
Cacic, Jack Joseph is an sole proprietor health care provider with primary practice located at 17 N H St , Lake Worth FL 33460-3701. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician. Chiropractic Providers / Rehabilitation is his primary health care specialty. Cacic, Jack Joseph can be contacted via phone (561) 547-2210.Contact Information
Primary practice address
17 N H St
Lake Worth FL 33460-3701
Phone: (561) 547-2210
Fax: (561) 547-6689
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Rehabilitation | 111NR0400X | CH7724 | Florida |
Chiropractic Providers / Sports Physician | 111NS0005X | CH7724 | Florida |
Profile Details
NPI number | 1922201284 |
---|---|
LBN Legal business name | Cacic, Jack Joseph |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 6th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922201284 | NPPES |
Florida | Other | 54015 | BCBS |
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