Fochtmann, Jacqueline Dawn

Fochtmann, Jacqueline Dawn is an sole proprietor health care provider with primary practice located at 208 Pierson Ave , Centreville AL 35042-2918. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Fochtmann, Jacqueline Dawn can be contacted via phone (205) 926-3288.

Contact Information

Primary practice address
208 Pierson Ave Centreville AL 35042-2918
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1-114223 Alabama

Profile Details

NPI number 1699433433
LBN Legal business name Fochtmann, Jacqueline Dawn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2021
Last updated Nov 29th, 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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