Chacon, Juvenal Eric
Chacon, Juvenal Eric is an sole proprietor health care provider with primary practice located at 3645 N Beach St , Ft Worth TX 76137-3242. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Chacon, Juvenal Eric can be contacted via phone (817) 759-0004.Contact Information
Primary practice address
3645 N Beach St
Ft Worth TX 76137-3242
Phone: (817) 759-0004
Fax: (814) 759-0003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1254951 | Texas |
Profile Details
NPI number | 1770974842 |
---|---|
LBN Legal business name | Chacon, Juvenal Eric |
Credentials | PT, DPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 11th, 2015 |
Last updated | Feb 11th, 2015 - about 10 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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