Vanausdall, Jack

Vanausdall, Jack is an sole proprietor health care provider with primary practice located at 3880 Grant Ave Ste 140 , Loveland CO 80538-8433. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Vanausdall, Jack can be contacted via phone (970) 215-2380.

Contact Information

Primary practice address
3880 Grant Ave Ste 140 Loveland CO 80538-8433
Fax:
Website:

Health care specialties

Profile Details

NPI number 1194865139
LBN Legal business name Vanausdall, Jack
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Apr 14th, 2020 - about 6 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.

Request for update

Popular Providers