Nance, Jerry Charles

Nance, Jerry Charles is an individual health care provider with primary practice located at 140 S Virginia St , Stephenville TX 76401-4343. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nance, Jerry Charles can be contacted via phone (254) 965-6100.

Contact Information

Primary practice address
140 S Virginia St Stephenville TX 76401-4343
Fax: (254) 965-1904
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC5104 Texas

Profile Details

NPI number 1396884581
LBN Legal business name Nance, Jerry Charles
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1396884581 NPPES
Texas MEDICAID 088400901

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