Dewbre, Jacquelin Dawn

Dewbre, Jacquelin Dawn is an individual health care provider with primary practice located at 120 Hillcrest Medical Blvd Ste 100 , Waco TX 76712-8949. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dewbre, Jacquelin Dawn can be contacted via phone (254) 202-6100.

Contact Information

Primary practice address
120 Hillcrest Medical Blvd Ste 100 Waco TX 76712-8949
Fax: (254) 202-6195
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M0391 Texas

Profile Details

NPI number 1346211893
LBN Legal business name Dewbre, Jacquelin Dawn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Sep 3rd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346211893 NPPES
Texas Other 8H3678 BCBS
Texas MEDICAID 175870801 BCBS

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