Beatty, Jacqueline Ann

Beatty, Jacqueline Ann is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Beatty, Jacqueline Ann can be contacted via phone (401) 444-6819.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-6819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X LDN00488 Rhode Island

Profile Details

NPI number 1538444617
LBN Legal business name Beatty, Jacqueline Ann
Credentials MS, RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2011
Last updated Oct 20th, 2011 - about 13 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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