Bae, Jacqueline J.

Bae, Jacqueline J. is an individual health care provider with primary practice located at 925 Bevins Ct , Lakeport CA 95453-9754. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutrition, Education is her primary health care specialty. Bae, Jacqueline J. can be contacted via phone (707) 263-8382.

Contact Information

Primary practice address
925 Bevins Ct Lakeport CA 95453-9754
Phone: (707) 263-8382
Fax: (707) 263-0329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1245521749
LBN Legal business name Bae, Jacqueline J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2011
Last updated May 2nd, 2011 - about 15 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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