Balch, Jacqualine Rae
Balch, Jacqualine Rae is an sole proprietor health care provider with primary practice located at 6104 Avenue Q South Dr , Lubbock TX 79412-3700. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Balch, Jacqualine Rae can be contacted via phone (806) 472-3430.Contact Information
Primary practice address
6104 Avenue Q South Dr
Lubbock TX 79412-3700
Phone: (806) 472-3430
Fax: (806) 472-3432
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 446047 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 440647 | Texas |
Profile Details
NPI number | 1134200991 |
---|---|
LBN Legal business name | Balch, Jacqualine Rae |
Credentials | RN, APRN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 18th, 2006 |
Last updated | Jan 3rd, 2011 - 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.
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