Mccole, Jamy C. Black

Mccole, Jamy C. Black is an individual health care provider with primary practice located at 3840 Hulen St , Fort Worth TX 76107-7277. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mccole, Jamy C. Black can be contacted via phone (817) 569-4413.

Contact Information

Primary practice address
3840 Hulen St Fort Worth TX 76107-7277
Phone: (817) 569-4413
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 108663 Texas

Profile Details

NPI number 1780713651
LBN Legal business name Mccole, Jamy C. Black
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jun 10th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780713651 NPPES
Texas MEDICAID 287142801
Texas Other 409159
Texas Other 29179-6
Texas Other 873P63

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