Cox, Jacqueline Ann

Cox, Jacqueline Ann is an individual health care provider with primary practice located at 1640 Cowles St Suite 1, Fairbanks AK 99701-5992. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Cox, Jacqueline Ann can be contacted via phone (907) 452-4768.

Contact Information

Primary practice address
1640 Cowles St Suite 1 Fairbanks AK 99701-5992
Fax: (907) 452-1009
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 5565 Alaska

Profile Details

NPI number 1538153564
LBN Legal business name Cox, Jacqueline Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Oct 13th, 2009 - about 16 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 1538153564 NPPES
Alaska MEDICAID MD 6153

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