Fall, Jacqueline
Fall, Jacqueline is an individual health care provider with primary practice located at 1523 S Fairmount St , Davenport IA 52802-3644. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fall, Jacqueline can be contacted via phone (563) 322-2667.Contact Information
Primary practice address
1523 S Fairmount St
Davenport IA 52802-3644
Phone: (563) 322-2667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1952061715 |
|---|---|
| LBN Legal business name | Fall, Jacqueline |
| Credentials | BA, MHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2021 |
| Last updated | Dec 21st, 2021 - 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.
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