Wells, Jack M

Wells, Jack M is an sole proprietor health care provider with primary practice located at 4630 River Rd N , Keizer OR 97303-4648. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Wells, Jack M can be contacted via phone (503) 999-8062.

Contact Information

Primary practice address
4630 River Rd N Keizer OR 97303-4648
Phone: (503) 999-8062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 11767 Oregon

Profile Details

NPI number 1023220860
LBN Legal business name Wells, Jack M
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 18 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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