Route, Jack
Route, Jack is an sole proprietor health care provider with primary practice located at 6325 Main St Ste 200 , Williamsville NY 14221-5617. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Route, Jack can be contacted via phone (716) 630-1295.Contact Information
Primary practice address
6325 Main St Ste 200
Williamsville NY 14221-5617
Phone: (716) 630-1295
Fax: (716) 250-5999
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 007175 | New York |
Profile Details
NPI number | 1326400664 |
---|---|
LBN Legal business name | Route, Jack |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 25th, 2016 |
Last updated | Sep 27th, 2023 - about last year |
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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