Mccole, Jamy C. Black
Mccole, Jamy C. Black is an individual health care provider with primary practice located at 3840 Hulen St , Fort Worth TX 76107-7277. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mccole, Jamy C. Black can be contacted via phone (817) 569-4413.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 108663 | Texas |
Profile Details
| NPI number | 1780713651 |
|---|---|
| LBN Legal business name | Mccole, Jamy C. Black |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jun 10th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780713651 | NPPES |
| Texas | MEDICAID | 287142801 | |
| Texas | Other | 409159 | |
| Texas | Other | 29179-6 | |
| Texas | Other | 873P63 |
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