Duvall, Jerry Wayne
Duvall, Jerry Wayne is an sole proprietor health care provider with primary practice located at 1514 S 77 Sunshinestrip Suite 19, Harlingen TX 78550-7208. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Duvall, Jerry Wayne can be contacted via phone (956) 425-6932.Contact Information
Primary practice address
1514 S 77 Sunshinestrip Suite 19
Harlingen TX 78550-7208
Phone: (956) 425-6932
Fax: (956) 425-6933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 5960 | Texas |
Profile Details
| NPI number | 1801949177 |
|---|---|
| LBN Legal business name | Duvall, Jerry Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Aug 14th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801949177 | NPPES |
| Texas | MEDICAID | 605139 |
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