Dillender, Jack Percy

Dillender, Jack Percy is an sole proprietor health care provider with primary practice located at 709 Manor Dr , Columbia MO 65203-1737. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Dillender, Jack Percy can be contacted via phone (573) 814-1418.

Contact Information

Primary practice address
709 Manor Dr Columbia MO 65203-1737
Phone: (573) 814-1418
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 2002028196 Missouri

Profile Details

NPI number 1881828762
LBN Legal business name Dillender, Jack Percy
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2009
Last updated May 7th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881828762 NPPES
Missouri Other 2002028196 MASSAGE THERAPY

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