Jack, Dane

Jack, Dane is an sole proprietor health care provider with primary practice located at 1450 Highland Ave , Eustis FL 32726-5738. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Jack, Dane can be contacted via phone (352) 434-5158.

Contact Information

Primary practice address
1450 Highland Ave Eustis FL 32726-5738
Phone: (352) 434-5158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1427815034
LBN Legal business name Jack, Dane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2024
Last updated Feb 29th, 2024 - about 2 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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