Cisternino, Jacqueline Ann

Cisternino, Jacqueline Ann is an sole proprietor health care provider with primary practice located at 279 Summit Dr , Waterford MI 48328-3364. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Cisternino, Jacqueline Ann can be contacted via phone (248) 724-6185.

Contact Information

Primary practice address
279 Summit Dr Waterford MI 48328-3364
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1124799739
LBN Legal business name Cisternino, Jacqueline Ann
Credentials CPSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2021
Last updated Sep 23rd, 2021 - about 4 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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