Harris, Jack Beverly

Harris, Jack Beverly is an individual health care provider with primary practice located at 156 Greengable Way , Chesapeake VA 23322. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Harris, Jack Beverly can be contacted via phone (757) 560-0231.

Contact Information

Primary practice address
156 Greengable Way Chesapeake VA 23322
Phone: (757) 560-0231
Fax: (757) 482-9033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 2705161949 Virginia

Profile Details

NPI number 1629590286
LBN Legal business name Harris, Jack Beverly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2017
Last updated Jul 21st, 2022 - about 2 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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