Supple, Joel Micah

Supple, Joel Micah is an sole proprietor health care provider with primary practice located at 809 Silverton St , Southlake TX 76092-3854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Supple, Joel Micah can be contacted via phone (214) 227-2457.

Contact Information

Primary practice address
809 Silverton St Southlake TX 76092-3854
Phone: (214) 227-2457
Fax: (214) 764-0880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 202123 Texas

Profile Details

NPI number 1891363321
LBN Legal business name Supple, Joel Micah
Credentials CSFA, CST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2021
Last updated Jul 21st, 2021 - about 5 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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