Jenevein, Nolan Bruce
Jenevein, Nolan Bruce is an individual health care provider with primary practice located at 6301 Gaston Ave Ste 100W , Dallas TX 75214-6273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jenevein, Nolan Bruce can be contacted via phone (214) 827-3610.Contact Information
Primary practice address
6301 Gaston Ave Ste 100W
Dallas TX 75214-6273
Phone: (214) 827-3610
Fax: (214) 821-4017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | H2492 | Texas |
Profile Details
| NPI number | 1346217163 |
|---|---|
| LBN Legal business name | Jenevein, Nolan Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Nov 19th, 2018 - about 6 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 | 1346217163 | NPPES |
| Texas | MEDICAID | 128206304 |
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