Supple, Joel Micah
Supple, Joel Micah is an sole proprietor health care provider with primary practice located at 809 Silverton St , Southlake TX 76092-3854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Supple, Joel Micah can be contacted via phone (214) 227-2457.Contact Information
Primary practice address
809 Silverton St
Southlake TX 76092-3854
Phone: (214) 227-2457
Fax: (214) 764-0880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 202123 | Texas |
Profile Details
| NPI number | 1891363321 |
|---|---|
| LBN Legal business name | Supple, Joel Micah |
| Credentials | CSFA, CST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2021 |
| Last updated | Jul 21st, 2021 - 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.
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