Baer, Jacqueline L
Baer, Jacqueline L is an sole proprietor health care provider with primary practice located at 1816 Bohicket Rd Suite F, Johns Island SC 29455-3318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baer, Jacqueline L can be contacted via phone (843) 559-1938.Contact Information
Primary practice address
1816 Bohicket Rd Suite F
Johns Island SC 29455-3318
Phone: (843) 559-1938
Fax: (843) 557-1998
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN1396 | South Carolina |
Profile Details
NPI number | 1952351173 |
---|---|
LBN Legal business name | Baer, Jacqueline L |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 10th, 2006 |
Last updated | May 5th, 2010 - about 14 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 | 1952351173 | NPPES |
South Carolina | MEDICAID | GP3367 |
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