Mikeworth, Jack L
Mikeworth, Jack L is an sole proprietor health care provider with primary practice located at 2200 Evans Ave , Fort Worth TX 76104-6066. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mikeworth, Jack L can be contacted via phone (817) 926-4693.Contact Information
Primary practice address
2200 Evans Ave
Fort Worth TX 76104-6066
Phone: (817) 926-4693
Fax: (817) 920-9625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5714 | Texas |
Profile Details
| NPI number | 1003952847 |
|---|---|
| LBN Legal business name | Mikeworth, Jack L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| 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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