Jack, Jessica

Jack, Jessica is an individual health care provider with primary practice located at 777 Bannock St , Denver CO 80204-4507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jack, Jessica can be contacted via phone (570) 236-8621.

Contact Information

Primary practice address
777 Bannock St Denver CO 80204-4507
Phone: (570) 236-8621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DR.0058290 Colorado

Profile Details

NPI number 1942627153
LBN Legal business name Jack, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated May 9th, 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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