Jack, James Andrew

Jack, James Andrew is an individual health care provider with primary practice located at 113 Lielmanis Ave , Hurlburt Field FL 32544-5604. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Jack, James Andrew can be contacted via phone (850) 881-2337.

Contact Information

Primary practice address
113 Lielmanis Ave Hurlburt Field FL 32544-5604
Phone: (850) 881-2337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1104060607
LBN Legal business name Jack, James Andrew
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Jan 6th, 2012 - about 12 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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