Jack, Cheryl
Jack, Cheryl is an individual health care provider with primary practice located at 3201 Fm 2004 Rd , Texas City TX 77591-2199. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jack, Cheryl can be contacted via phone (409) 944-4399.Contact Information
Primary practice address
3201 Fm 2004 Rd
Texas City TX 77591-2199
Phone: (409) 944-4399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13802 | Texas |
Profile Details
| NPI number | 1861913469 |
|---|---|
| LBN Legal business name | Jack, Cheryl |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2017 |
| Last updated | Jul 5th, 2017 - about 9 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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