Lacy, Jesse M

Lacy, Jesse M is an individual health care provider with primary practice located at 1900 Palm Bay Road Northeast Suite C, Palm Bay FL 32905-2955. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lacy, Jesse M can be contacted via phone (321) 726-0168.

Contact Information

Primary practice address
1900 Palm Bay Road Northeast Suite C Palm Bay FL 32905-2955
Phone: (321) 726-0168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0005634 Florida
Chiropractic Providers / Chiropractor 111N00000X CHIR004995 Georgia
Chiropractic Providers / Chiropractor 111N00000X 1523 Alabama
Chiropractic Providers / Chiropractor 111N00000X DC0000001066 Tennessee

Profile Details

NPI number 1619038775
LBN Legal business name Lacy, Jesse M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 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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