Neagle, Jack Monroe

Neagle, Jack Monroe is an individual health care provider with primary practice located at 1805 W White Oak Ter Suite C, Conroe TX 77304-3590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Neagle, Jack Monroe can be contacted via phone (936) 539-2980.

Contact Information

Primary practice address
1805 W White Oak Ter Suite C Conroe TX 77304-3590
Phone: (936) 539-2980
Fax: (936) 539-2969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 22205 DENTAL Texas

Profile Details

NPI number 1851595433
LBN Legal business name Neagle, Jack Monroe
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jun 8th, 2009 - about 15 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 1851595433 NPPES
Other 2765224960 MYUTMB 2765224960-COMMERCIAL NUMBER

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