Hollis, Jack E.

Hollis, Jack E. is an individual health care provider with primary practice located at 4901 E 5Th St , Tucson AZ 85711-2203. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hollis, Jack E. can be contacted via phone (520) 327-4505.

Contact Information

Primary practice address
4901 E 5Th St Tucson AZ 85711-2203
Phone: (520) 327-4505
Fax: (520) 202-1889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LMSW-11007 Arizona

Profile Details

NPI number 1376631259
LBN Legal business name Hollis, Jack E.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 19 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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