Brodsky, Jacqueline Jeanette
Brodsky, Jacqueline Jeanette is an individual health care provider with primary practice located at 1 University Dr , Aliso Viejo CA 92656-8081. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Brodsky, Jacqueline Jeanette can be contacted via phone (949) 480-4143.Contact Information
Primary practice address
1 University Dr
Aliso Viejo CA 92656-8081
Phone: (949) 480-4143
Fax: (949) 480-4246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 166872 | California |
Profile Details
| NPI number | 1568444347 |
|---|---|
| LBN Legal business name | Brodsky, Jacqueline Jeanette |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 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.
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