Reardon, Jack Edward

Reardon, Jack Edward is an individual health care provider with primary practice located at 1301 Greythorne Dr , Lake Orion MI 48359-2437. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Reardon, Jack Edward can be contacted via phone (248) 520-6277.

Contact Information

Primary practice address
1301 Greythorne Dr Lake Orion MI 48359-2437
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1396252243
LBN Legal business name Reardon, Jack Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2018
Last updated Jan 1st, 2018 - about 6 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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