Jack, Donald Ray

Jack, Donald Ray is an sole proprietor health care provider with primary practice located at 1644 Wilcox Ave , Hollywood CA 90028-6206. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Jack, Donald Ray can be contacted via phone (424) 202-0322.

Contact Information

Primary practice address
1644 Wilcox Ave Hollywood CA 90028-6206
Phone: (424) 202-0322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 12521464546464 Kentucky

Profile Details

NPI number 1497079875
LBN Legal business name Jack, Donald Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2010
Last updated Mar 15th, 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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