Repp, Kirt W
Repp, Kirt W is an sole proprietor health care provider with primary practice located at 3033 Hartley Rd Ste 6 , Jacksonville FL 32257-6280. He recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Radiology, Chiropractic Providers / Occupational Health, Chiropractic Providers / Neurology. Chiropractic Providers / Neurology is his primary health care specialty. Repp, Kirt W can be contacted via phone (904) 481-1111.Contact Information
Primary practice address
3033 Hartley Rd Ste 6
Jacksonville FL 32257-6280
Phone: (904) 481-1111
Fax: (832) 442-3800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1811 | Louisiana |
| Chiropractic Providers / Chiropractor | 111N00000X | 12872 | Florida |
| Chiropractic Providers / Chiropractor | 111N00000X | TX8323 | Texas |
| Chiropractic Providers / Chiropractor | 111N00000X | CH12872 | Florida |
| Chiropractic Providers / Radiology | 111NR0200X | 8323 | Texas |
| Chiropractic Providers / Occupational Health | 111NX0100X | 8323 | Texas |
| Chiropractic Providers / Neurology | 111NN0400X | 8323 | Texas |
Profile Details
| NPI number | 1598752545 |
|---|---|
| LBN Legal business name | Repp, Kirt W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jan 19th, 2023 - about 3 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 | 1598752545 | NPPES |
| Texas | Other | 8P5801 | BLUE CROSS BLUE SHIELD |
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