Stowe, Jacob Ray

Stowe, Jacob Ray is an individual health care provider with primary practice located at 1901 Medi Park Dr Ste 65 , Amarillo TX 79106-2105. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Stowe, Jacob Ray can be contacted via phone (806) 468-7611.

Contact Information

Primary practice address
1901 Medi Park Dr Ste 65 Amarillo TX 79106-2105
Phone: (806) 468-7611
Fax: (806) 468-7603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 112641 Texas

Profile Details

NPI number 1891956223
LBN Legal business name Stowe, Jacob Ray
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Jun 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891956223 NPPES
Texas MEDICAID 0217267-01

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