Ansburg, Jacqueline

Ansburg, Jacqueline is an sole proprietor health care provider with primary practice located at 1767 Glasgow St , Valparaiso IN 46385-7360. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ansburg, Jacqueline can be contacted via phone (219) 713-2287.

Contact Information

Primary practice address
1767 Glasgow St Valparaiso IN 46385-7360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 10187414 Indiana

Profile Details

NPI number 1770048811
LBN Legal business name Ansburg, Jacqueline
Credentials M.ED., ED. S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2019
Last updated Feb 3rd, 2019 - about 6 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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