Balderas, Jacqueline Nicole
Balderas, Jacqueline Nicole is an sole proprietor health care provider with primary practice located at 301 Andrews Ave , Fort Rucker AL 36362. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Balderas, Jacqueline Nicole can be contacted via phone (334) 503-7871.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10055 | Texas |
Profile Details
| NPI number | 1588273767 |
|---|---|
| LBN Legal business name | Balderas, Jacqueline Nicole |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Jun 9th, 2022 - about 2 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 | 1588273767 | NPPES |
| Other | 753741 | NBEO TRACKING NUMBER | |
| Other | 10055 | NBEO TRACKING NUMBER |
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