Fountain, Jacqueline

Fountain, Jacqueline is an sole proprietor health care provider with primary practice located at 499 Indian Mound Dr , Mt Sterling KY 40353-1096. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Fountain, Jacqueline can be contacted via phone (859) 497-9382.

Contact Information

Primary practice address
499 Indian Mound Dr Mt Sterling KY 40353-1096
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1639806672
LBN Legal business name Fountain, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2022
Last updated Aug 1st, 2022 - about 2 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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