Waters, Jack V.
Waters, Jack V. is an sole proprietor health care provider with primary practice located at 1833 W 21St St , Clovis NM 88101-4023. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Waters, Jack V. can be contacted via phone (575) 763-8888.Contact Information
Primary practice address
1833 W 21St St
Clovis NM 88101-4023
Phone: (575) 763-8888
Fax: (575) 763-8891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 989 | New Mexico |
Profile Details
| NPI number | 1396845327 |
|---|---|
| LBN Legal business name | Waters, Jack V. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Nov 24th, 2008 - about 18 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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