Anderson, Jacqueline Denise
Anderson, Jacqueline Denise is an sole proprietor health care provider with primary practice located at 640 Acr 3593 , Palestine TX 75803. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Anderson, Jacqueline Denise can be contacted via phone (903) 729-1518.Contact Information
Primary practice address
640 Acr 3593
Palestine TX 75803
Phone: (903) 729-1518
Fax: (903) 389-4237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | SA00028 | Texas |
Profile Details
| NPI number | 1205903424 |
|---|---|
| LBN Legal business name | Anderson, Jacqueline Denise |
| Credentials | SURGICAL ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1205903424 | NPPES |
| Texas | Other | 0067JR | BCBS ID |
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