Reed, Jerry Kenneth
Reed, Jerry Kenneth is an individual health care provider with primary practice located at 1415 Big Stone Gap Rd , Duncanville TX 75137-2003. He recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as his primary health care specialty. Reed, Jerry Kenneth can be contacted via phone (469) 297-0430.Contact Information
Primary practice address
1415 Big Stone Gap Rd
Duncanville TX 75137-2003
Phone: (469) 297-0430
Fax: (469) 776-5200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nursing Home Administrator | 376G00000X | 147168 | Texas |
Profile Details
| NPI number | 1659925725 |
|---|---|
| LBN Legal business name | Reed, Jerry Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2019 |
| Last updated | Jul 28th, 2019 - about 5 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 | 1659925725 | NPPES |
| Texas | Other | 106818 | TEXAS STATE ASSISTED LIVING VENDOR/FACILITY ID |
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