Footman, Jacqueline
Footman, Jacqueline is an individual health care provider with primary practice located at 180 Fairfield Ave , Bridgeport CT 06604-4252. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Footman, Jacqueline can be contacted via phone (203) 394-6529.Contact Information
Primary practice address
180 Fairfield Ave
Bridgeport CT 06604-4252
Phone: (203) 394-6529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1194859884 |
|---|---|
| LBN Legal business name | Footman, Jacqueline |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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