Eugenio, Jacqueline

Eugenio, Jacqueline is an individual health care provider with primary practice located at 217 S 3Rd St , Danville KY 40422-1823. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Eugenio, Jacqueline can be contacted via phone (859) 335-9041.

Contact Information

Primary practice address
217 S 3Rd St Danville KY 40422-1823
Phone: (859) 335-9041
Fax: (859) 335-9072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32089 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32089 Kentucky

Profile Details

NPI number 1790701456
LBN Legal business name Eugenio, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 24th, 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 1790701456 NPPES
Tennessee MEDICAID 4401035
Tennessee Other 50005438
Tennessee Other 930116183
Tennessee MEDICAID 64320898
Tennessee Other 000000219293
Tennessee MEDICAID 010261155

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