Emanuel, Jacqueline

Emanuel, Jacqueline is an individual health care provider with primary practice located at 2080 S E St , San Bernardino CA 92408-2773. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Emanuel, Jacqueline can be contacted via phone (909) 388-9191.

Contact Information

Primary practice address
2080 S E St San Bernardino CA 92408-2773
Phone: (909) 388-9191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 250354 California

Profile Details

NPI number 1821429564
LBN Legal business name Emanuel, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2013
Last updated Dec 5th, 2013 - 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 1821429564 NPPES
California MEDICAID 1124100383

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