Painter, Jack Allan
Painter, Jack Allan is an sole proprietor health care provider with primary practice located at 26 Broad St , Martinsville VA 24112-2802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Painter, Jack Allan can be contacted via phone (276) 632-4200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101042801 | Virginia |
Profile Details
| NPI number | 1275692717 |
|---|---|
| LBN Legal business name | Painter, Jack Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 14th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275692717 | NPPES |
| Virginia | Other | 1841452018 | HEART OF VIRGINIA PC |
| Virginia | Other | 11053313 | HEART OF VIRGINIA PC |
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