Garrett, Kenneth Dale

Garrett, Kenneth Dale is an sole proprietor health care provider with primary practice located at 1113 Longworth Dr , Plano TX 75075-8329. He recently has only one registered license in Chiropractic Providers / Radiology, which is considered as his primary health care specialty. Garrett, Kenneth Dale can be contacted via phone (972) 867-9729.

Contact Information

Primary practice address
1113 Longworth Dr Plano TX 75075-8329
Fax: (972) 867-9722
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Radiology 111NR0200X 8491 Texas

Profile Details

NPI number 1164539490
LBN Legal business name Garrett, Kenneth Dale
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164539490 NPPES
Texas Other 605282 BCBS

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