Jenkins, Jack Osborne

Jenkins, Jack Osborne is an sole proprietor health care provider with primary practice located at 415 Dixie St , Carrollton GA 30117-3921. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Jenkins, Jack Osborne can be contacted via phone (678) 230-2046.

Contact Information

Primary practice address
415 Dixie St Carrollton GA 30117-3921
Phone: (678) 230-2046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY000651 Georgia

Profile Details

NPI number 1639369515
LBN Legal business name Jenkins, Jack Osborne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2007
Last updated Jul 27th, 2007 - about 18 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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