Jenkins, Thomas Edell

Jenkins, Thomas Edell is an sole proprietor health care provider with primary practice located at 1042 County Road 1124 , Daingerfield TX 75638-7348. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Jenkins, Thomas Edell can be contacted via phone (903) 452-4272.

Contact Information

Primary practice address
1042 County Road 1124 Daingerfield TX 75638-7348
Phone: (903) 452-4272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2095450 Texas

Profile Details

NPI number 1407330798
LBN Legal business name Jenkins, Thomas Edell
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2018
Last updated Sep 21st, 2018 - about 7 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 1407330798 NPPES
Texas MEDICAID 2095450

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