Hinkle, Jack Terrell

Hinkle, Jack Terrell is an sole proprietor health care provider with primary practice located at 595 S Bluff St Ste 6 , St George UT 84770-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hinkle, Jack Terrell can be contacted via phone (435) 628-5851.

Contact Information

Primary practice address
595 S Bluff St Ste 6 St George UT 84770-3593
Phone: (435) 628-5851
Fax: (435) 628-5852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101007259 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4903985 1204 Utah

Profile Details

NPI number 1144218652
LBN Legal business name Hinkle, Jack Terrell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144218652 NPPES
Michigan Other 0853830844 MICHIGAN BC
Michigan MEDICAID 1744090 MICHIGAN BC

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