Jack, Kayla Ann
Jack, Kayla Ann is an sole proprietor health care provider with primary practice located at Us 491 , Shiprock NM 87420. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jack, Kayla Ann can be contacted via phone (505) 419-0294.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | SWB-2023-0550 | New Mexico |
Profile Details
| NPI number | 1093498578 |
|---|---|
| LBN Legal business name | Jack, Kayla Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2023 |
| Last updated | Sep 8th, 2023 - about last year |
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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