Cacic, Jack Joseph

Cacic, Jack Joseph is an sole proprietor health care provider with primary practice located at 17 N H St , Lake Worth FL 33460-3701. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician. Chiropractic Providers / Rehabilitation is his primary health care specialty. Cacic, Jack Joseph can be contacted via phone (561) 547-2210.

Contact Information

Primary practice address
17 N H St Lake Worth FL 33460-3701
Phone: (561) 547-2210
Fax: (561) 547-6689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X CH7724 Florida
Chiropractic Providers / Sports Physician 111NS0005X CH7724 Florida

Profile Details

NPI number 1922201284
LBN Legal business name Cacic, Jack Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922201284 NPPES
Florida Other 54015 BCBS

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