Brown, Jacqueline Moses

Brown, Jacqueline Moses is an sole proprietor health care provider with primary practice located at 6223 S Eberhart Ave , Chicago IL 60637-3318. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Nursing Service Providers / Registered Nurse. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Brown, Jacqueline Moses can be contacted via phone (773) 203-2490.

Contact Information

Primary practice address
6223 S Eberhart Ave Chicago IL 60637-3318
Phone: (773) 203-2490
Fax: (773) 288-5239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 041324679 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041324679 Illinois

Profile Details

NPI number 1699976803
LBN Legal business name Brown, Jacqueline Moses
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated Jan 30th, 2017 - about 8 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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