Jack, Joani L

Jack, Joani L is an individual health care provider with primary practice located at 910 Blackford St , Chattanooga TN 37403-1405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jack, Joani L can be contacted via phone (423) 778-6012.

Contact Information

Primary practice address
910 Blackford St Chattanooga TN 37403-1405
Phone: (423) 778-6012
Fax: (423) 778-6958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24883 Tennessee

Profile Details

NPI number 1184698698
LBN Legal business name Jack, Joani L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Nov 18th, 2008 - about 17 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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