Fountain, Jack

Fountain, Jack is an sole proprietor health care provider with primary practice located at 2232 Times Ave Sw , Canton OH 44706-2116. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Fountain, Jack can be contacted via phone (330) 412-7963.

Contact Information

Primary practice address
2232 Times Ave Sw Canton OH 44706-2116
Phone: (330) 412-7963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1831347129
LBN Legal business name Fountain, Jack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2008
Last updated Aug 29th, 2008 - 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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