Gaskill, Jack Edward
Gaskill, Jack Edward is an sole proprietor health care provider with primary practice located at 1215 Red River St Suite 448, Austin TX 78701-1921. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gaskill, Jack Edward can be contacted via phone (512) 479-3523.Contact Information
Primary practice address
1215 Red River St Suite 448
Austin TX 78701-1921
Phone: (512) 479-3523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 23236 | Texas |
Profile Details
| NPI number | 1821052903 |
|---|---|
| LBN Legal business name | Gaskill, Jack Edward |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jul 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821052903 | NPPES |
| Texas | MEDICAID | P000T48L2 |
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