Jeffers, Joe Mac
Jeffers, Joe Mac is an sole proprietor health care provider with primary practice located at 3471 Knickerbocker Rd Ste 508, San Angelo TX 76904-8826. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Jeffers, Joe Mac can be contacted via phone (325) 942-7531.Contact Information
Primary practice address
3471 Knickerbocker Rd Ste 508
San Angelo TX 76904-8826
Phone: (325) 942-7531
Fax: (325) 942-7532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 21733 | Texas |
Profile Details
| NPI number | 1245236421 |
|---|---|
| LBN Legal business name | Jeffers, Joe Mac |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1245236421 | NPPES |
| Texas | Other | 130095 | MHN/HMC CLAIMS |
| Texas | Other | 117880 | MHN/HMC CLAIMS |
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