Hollingsworth, Jack

Hollingsworth, Jack is an individual health care provider with primary practice located at 1400 Blackhorse Hill Rd , Coatesville PA 19320-2040. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Hollingsworth, Jack can be contacted via phone (610) 384-7711.

Contact Information

Primary practice address
1400 Blackhorse Hill Rd Coatesville PA 19320-2040
Phone: (610) 384-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1144233594
LBN Legal business name Hollingsworth, Jack
Credentials MASTER OF SCIENCE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 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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