Jack, Chaddrick Lendon

Jack, Chaddrick Lendon is an individual health care provider with primary practice located at 10651 E St , Corpus Christi TX 78419-5130. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Jack, Chaddrick Lendon can be contacted via phone (361) 961-2688.

Contact Information

Primary practice address
10651 E St Corpus Christi TX 78419-5130
Phone: (361) 961-2688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X 1710I1002X Texas

Profile Details

NPI number 1922068246
LBN Legal business name Jack, Chaddrick Lendon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Feb 6th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922068246 NPPES
Texas Other 1710I1002X INDEPENDENT DUTY CORPSMAN

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