Jack, Callie

Jack, Callie is an sole proprietor health care provider with primary practice located at 6162 E. Mockingbird Lane Suite 100, Dallas TX 75214. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Jack, Callie can be contacted via phone (214) 824-6400.

Contact Information

Primary practice address
6162 E. Mockingbird Lane Suite 100 Dallas TX 75214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 80684 Texas

Profile Details

NPI number 1093182057
LBN Legal business name Jack, Callie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 2015 - about 9 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 1093182057 NPPES
Texas MEDICAID 180895801

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