Bishop, Jacqueline R
Bishop, Jacqueline R is an individual health care provider with primary practice located at 1 Pearl St Suite 2100, Brockton MA 02301-2864. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bishop, Jacqueline R can be contacted via phone (508) 897-6040.Contact Information
Primary practice address
1 Pearl St Suite 2100
Brockton MA 02301-2864
Phone: (508) 897-6040
Fax: (508) 897-6045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 128471 | Massachusetts |
Profile Details
| NPI number | 1073594180 |
|---|---|
| LBN Legal business name | Bishop, Jacqueline R |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1073594180 | NPPES |
| Massachusetts | MEDICAID | 0376931 |
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