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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831493063 | NPPES |
Texas | Other | 6787445908 | MULTIPLE LICENCE |
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