Kidwell, Jack

Kidwell, Jack is an sole proprietor health care provider with primary practice located at 18697 Bagley Rd , Middleburg Heights OH 44130-3417. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Kidwell, Jack can be contacted via phone (216) 926-0699.

Contact Information

Primary practice address
18697 Bagley Rd Middleburg Heights OH 44130-3417
Phone: (216) 926-0699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT9064 Ohio
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT9064 Ohio

Profile Details

NPI number 1659504868
LBN Legal business name Kidwell, Jack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2009
Last updated Apr 14th, 2016 - about 9 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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