Abikoff, Jacqueline
Abikoff, Jacqueline is an individual health care provider with primary practice located at 25 Country Club Rd Suite 705, Gilford NH 03249-6972. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Abikoff, Jacqueline can be contacted via phone (603) 524-8005.Contact Information
Primary practice address
25 Country Club Rd Suite 705
Gilford NH 03249-6972
Phone: (603) 524-8005
Fax: (603) 524-7275
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 109 | New Hampshire |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 176 | New Hampshire |
Profile Details
NPI number | 1700934742 |
---|---|
LBN Legal business name | Abikoff, Jacqueline |
Credentials | LICSW, M LADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Nov 6th, 2012 - about 13 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 | 1700934742 | NPPES |
New Hampshire | MEDICAID | 30007637 |
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