Aguilar, Jade Nycole

Aguilar, Jade Nycole is an sole proprietor health care provider with primary practice located at 5945 Waterside Dr Apt 2 , Portage IN 46368-4933. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Aguilar, Jade Nycole can be contacted via phone (219) 617-7855.

Contact Information

Primary practice address
5945 Waterside Dr Apt 2 Portage IN 46368-4933
Phone: (219) 617-7855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1790251981
LBN Legal business name Aguilar, Jade Nycole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2018
Last updated Oct 16th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790251981 NPPES
Other NONE NONE

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