Burkhardt, Jacqueline A
Burkhardt, Jacqueline A is an individual health care provider with primary practice located at 331 N York Rd , Hatboro PA 19040-2033. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Burkhardt, Jacqueline A can be contacted via phone (215) 672-4300.Contact Information
Primary practice address
331 N York Rd
Hatboro PA 19040-2033
Phone: (215) 672-4300
Fax: (215) 672-9524
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3874 | Florida |
Eye and Vision Services Providers / Optometrist | 152W00000X | OEG003007 | Pennsylvania |
Profile Details
NPI number | 1902842933 |
---|---|
LBN Legal business name | Burkhardt, Jacqueline A |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2006 |
Last updated | Feb 27th, 2015 - about 9 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 | 1902842933 | NPPES |
Florida | MEDICAID | 620951300 |
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