Fine, Jeffrey S
Fine, Jeffrey S is an individual health care provider with primary practice located at 6750 N Macarthur Blvd Ste 300 , Irving TX 75039. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Fine, Jeffrey S can be contacted via phone (972) 253-4205.Contact Information
Primary practice address
6750 N Macarthur Blvd Ste 300
Irving TX 75039
Phone: (972) 253-4205
Fax: (972) 401-0458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 018765 | Louisiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | M6131 | Texas |
Profile Details
| NPI number | 1649272816 |
|---|---|
| LBN Legal business name | Fine, Jeffrey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Aug 7th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649272816 | NPPES |
| Texas | MEDICAID | 1847469 01 | |
| Texas | MEDICAID | 1934348 |
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