Giannini, Jack Thomas

Giannini, Jack Thomas is an sole proprietor health care provider with primary practice located at 220 W 18Th St , Hopkinsville KY 42240-1963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Giannini, Jack Thomas can be contacted via phone (270) 886-7512.

Contact Information

Primary practice address
220 W 18Th St Hopkinsville KY 42240-1963
Phone: (270) 886-7512
Fax: (270) 886-0174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15869 Kentucky

Profile Details

NPI number 1447213897
LBN Legal business name Giannini, Jack Thomas
Credentials PSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Aug 4th, 2014 - about 12 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 1447213897 NPPES
Kentucky MEDICAID 64158694

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