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
Phone: (254) 202-6100
Fax: (254) 202-6195
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346211893 | NPPES |
Texas | Other | 8H3678 | BCBS |
Texas | MEDICAID | 175870801 | BCBS |
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