Jack, Toddy

Jack, Toddy is an individual health care provider with primary practice located at 801 Road To Sixflags Street 144, Arlington TX 76012. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Other Service Providers / Contractor. Other Service Providers / Contractor is his primary health care specialty. Jack, Toddy can be contacted via phone (817) 461-0034.

Contact Information

Primary practice address
801 Road To Sixflags Street 144 Arlington TX 76012
Phone: (817) 461-0034
Fax: (817) 461-0035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Oncology 163WX0200X 4765290876 Texas
Other Service Providers / Contractor 171W00000X 345782195 Texas

Profile Details

NPI number 1831493063
LBN Legal business name Jack, Toddy
Credentials CEO
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831493063 NPPES
Texas Other 6787445908 MULTIPLE LICENCE

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