Pedersen, Jack A
Pedersen, Jack A is an sole proprietor health care provider with primary practice located at 7155 Colleyville Blvd Ste 103, Colleyville TX 76034-8003. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pedersen, Jack A can be contacted via phone (817) 251-7328.Contact Information
Primary practice address
7155 Colleyville Blvd Ste 103
Colleyville TX 76034-8003
Phone: (817) 251-7328
Fax: (817) 421-7380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2471 | Texas |
Profile Details
| NPI number | 1164484895 |
|---|---|
| LBN Legal business name | Pedersen, Jack A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jan 5th, 2015 - about 9 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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