Kreck, Jake H

Kreck, Jake H is an sole proprietor health care provider with primary practice located at 1367 Dominion Plz , Tyler TX 75703-1013. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kreck, Jake H can be contacted via phone (903) 534-6200.

Contact Information

Primary practice address
1367 Dominion Plz Tyler TX 75703-1013
Fax: (903) 939-0755
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Texas

Profile Details

NPI number 1851638126
LBN Legal business name Kreck, Jake H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2013
Last updated Oct 11th, 2023 - about last year

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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