Becker, Jacqueline Louise

Becker, Jacqueline Louise is an sole proprietor health care provider with primary practice located at 182 Lakeside Park Dr , Hendersonville TN 37075-4834. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Becker, Jacqueline Louise can be contacted via phone (760) 410-8485.

Contact Information

Primary practice address
182 Lakeside Park Dr Hendersonville TN 37075-4834
Phone: (760) 410-8485
Fax: (760) 593-2689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13988 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01322300 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40179 California

Profile Details

NPI number 1750513677
LBN Legal business name Becker, Jacqueline Louise
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2009
Last updated Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750513677 NPPES
California MEDICAID 99999999
California MEDICAID 99999999

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