Lafosse, Jack

Lafosse, Jack is an sole proprietor health care provider with primary practice located at 1374 Richland Blvd , Bay Shore NY 11706-4947. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lafosse, Jack can be contacted via phone (631) 804-9995.

Contact Information

Primary practice address
1374 Richland Blvd Bay Shore NY 11706-4947
Phone: (631) 804-9995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X009251 New York

Profile Details

NPI number 1780055996
LBN Legal business name Lafosse, Jack
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2015
Last updated Oct 14th, 2015 - about 11 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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