Mansfield, Jack Winn

Mansfield, Jack Winn is an individual health care provider with primary practice located at 6569 Cumberland Gap Pkwy , Harrogate TN 37752-8015. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mansfield, Jack Winn can be contacted via phone (423) 869-6322.

Contact Information

Primary practice address
6569 Cumberland Gap Pkwy Harrogate TN 37752-8015
Phone: (423) 869-6322
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT0000001015 Tennessee

Profile Details

NPI number 1346277977
LBN Legal business name Mansfield, Jack Winn
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 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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