Carr, Jacqueline M

Carr, Jacqueline M is an individual health care provider with primary practice located at 3220 South Higuera Street Suite 320, San Luis Obispo CA 93401-6987. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Carr, Jacqueline M can be contacted via phone (805) 541-1790.

Contact Information

Primary practice address
3220 South Higuera Street Suite 320 San Luis Obispo CA 93401-6987
Phone: (805) 541-1790
Fax: (805) 541-1793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA 4180 California

Profile Details

NPI number 1710190764
LBN Legal business name Carr, Jacqueline M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Sep 20th, 2011 - about 14 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 1710190764 NPPES
California Other HA 4180 DISPENSER LICENSE

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