Nassau, Jack Howard

Nassau, Jack Howard is an individual health care provider with primary practice located at 1 Hoppin St Suite 204, Providence RI 02903-4141. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Nassau, Jack Howard can be contacted via phone (401) 444-8945.

Contact Information

Primary practice address
1 Hoppin St Suite 204 Providence RI 02903-4141
Phone: (401) 444-8945
Fax: (401) 444-8742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00644 Rhode Island
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS00644 Rhode Island

Profile Details

NPI number 1750367868
LBN Legal business name Nassau, Jack Howard
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 19th, 2012 - about 12 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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