Gibbons, Jacqueline
Gibbons, Jacqueline is an individual health care provider with primary practice located at 1906 Commercenter E Ste 206 , San Bernardino CA 92408-3424. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Gibbons, Jacqueline can be contacted via phone (909) 567-2935.Contact Information
Primary practice address
1906 Commercenter E Ste 206
San Bernardino CA 92408-3424
Phone: (909) 567-2935
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 5907 | California |
Profile Details
NPI number | 1396468765 |
---|---|
LBN Legal business name | Gibbons, Jacqueline |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2022 |
Last updated | Sep 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396468765 | NPPES |
Other | 1457097230 | PRIVATE PAY |
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