Early, Jacquelyn Ann

Early, Jacquelyn Ann is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr Emergency Department, Abingdon VA 24211-7659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Early, Jacquelyn Ann can be contacted via phone (276) 258-1100.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Emergency Department Abingdon VA 24211-7659
Phone: (276) 258-1100
Fax: (276) 258-1125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2007-00248 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101247123 Virginia

Profile Details

NPI number 1750593208
LBN Legal business name Early, Jacquelyn Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2007
Last updated Dec 10th, 2014 - about 11 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 1750593208 NPPES
Virginia MEDICAID 1750593208

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