Jasinski, Gayle Marie
Jasinski, Gayle Marie is an individual health care provider with primary practice located at 10900 Founders Way Ste 101 , Fort Worth TX 76244-4953. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Jasinski, Gayle Marie can be contacted via phone (817) 442-9300.Contact Information
Primary practice address
10900 Founders Way Ste 101
Fort Worth TX 76244-4953
Phone: (817) 442-9300
Fax: (817) 416-0108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 9075 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA09200 | Texas |
Profile Details
| NPI number | 1568499135 |
|---|---|
| LBN Legal business name | Jasinski, Gayle Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Mar 11th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568499135 | NPPES |
| Texas | MEDICAID | 1472920-04 | |
| Texas | MEDICAID | 1472920-05 |
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