Kyagilo, Jacques Kyanza

Kyagilo, Jacques Kyanza is an sole proprietor health care provider with primary practice located at 19220 Van Aken Blvd Apt 303 , Shaker Heights OH 44122-3557. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Kyagilo, Jacques Kyanza can be contacted via phone (832) 258-7367.

Contact Information

Primary practice address
19220 Van Aken Blvd Apt 303 Shaker Heights OH 44122-3557
Phone: (832) 258-7367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1659002939
LBN Legal business name Kyagilo, Jacques Kyanza
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2022
Last updated Jun 18th, 2022 - about 2 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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