Albiez, Jacqueline

Albiez, Jacqueline is an individual health care provider with primary practice located at 707 N Michigan St Ste 400 , South Bend IN 46601-1071. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Albiez, Jacqueline can be contacted via phone (574) 647-8470.

Contact Information

Primary practice address
707 N Michigan St Ste 400 South Bend IN 46601-1071
Phone: (574) 647-8470
Fax: (574) 647-8475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71011568A Indiana

Profile Details

NPI number 1447928007
LBN Legal business name Albiez, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2021
Last updated Apr 28th, 2023 - about 3 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 1447928007 NPPES
Indiana MEDICAID 300054921

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