Beres, Jaclyn Marie

Beres, Jaclyn Marie is an individual health care provider with primary practice located at 1 Park West Blvd Suite 200, Akron OH 44320-4218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Beres, Jaclyn Marie can be contacted via phone (330) 869-9777.

Contact Information

Primary practice address
1 Park West Blvd Suite 200 Akron OH 44320-4218
Phone: (330) 869-9777
Fax: (330) 869-0052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X COA14890NM Ohio

Profile Details

NPI number 1396177077
LBN Legal business name Beres, Jaclyn Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2013
Last updated Nov 4th, 2013 - about 12 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 1396177077 NPPES
Ohio MEDICAID 0089219

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