Stancill, Jacob Tyre
Stancill, Jacob Tyre is an sole proprietor health care provider with primary practice located at 122 Gordon Commercial Dr Ste C , Lagrange GA 30240-5754. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Stancill, Jacob Tyre can be contacted via phone (706) 845-4045.Contact Information
Primary practice address
122 Gordon Commercial Dr Ste C
Lagrange GA 30240-5754
Phone: (706) 845-4045
Fax: (706) 845-4367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1205399532 |
|---|---|
| LBN Legal business name | Stancill, Jacob Tyre |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2019 |
| Last updated | Apr 12th, 2019 - about 7 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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