Edquid, Jacqueline

Edquid, Jacqueline is an sole proprietor health care provider with primary practice located at 4700 Rockside Rd , Independence OH 44131-2155. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Edquid, Jacqueline can be contacted via phone (614) 339-1649.

Contact Information

Primary practice address
4700 Rockside Rd Independence OH 44131-2155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.414923 Ohio
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN.414923 Ohio

Profile Details

NPI number 1386214195
LBN Legal business name Edquid, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2021
Last updated Jun 25th, 2021 - about 3 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 1386214195 NPPES
Ohio MEDICAID 2910854

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