Jenks, Michael A

Jenks, Michael A is an individual health care provider with primary practice located at 2034 Randolph Rd , Charlotte NC 28207-1216. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Jenks, Michael A can be contacted via phone (704) 377-7099.

Contact Information

Primary practice address
2034 Randolph Rd Charlotte NC 28207-1216
Phone: (704) 377-7099
Fax: (704) 377-7983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1336269513
LBN Legal business name Jenks, Michael A
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336269513 NPPES
North Carolina MEDICAID 7703499
North Carolina MEDICAID 7795013

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