Charlie, Jake
Charlie, Jake is an individual health care provider with primary practice located at 167 N. Main Street , Tuba City AZ 86045-0600. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Charlie, Jake can be contacted via phone (928) 283-2501.Contact Information
Primary practice address
167 N. Main Street
Tuba City AZ 86045-0600
Phone: (928) 283-2501
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | CNA999953632 | Arizona |
Profile Details
NPI number | 1851691638 |
---|---|
LBN Legal business name | Charlie, Jake |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2010 |
Last updated | Oct 27th, 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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