Gividen, Jacqueline K
Gividen, Jacqueline K is an individual health care provider with primary practice located at 2080 W Arlington Blvd Ste B , Greenville NC 27834-3770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Gividen, Jacqueline K can be contacted via phone (252) 752-2140.Contact Information
Primary practice address
2080 W Arlington Blvd Ste B
Greenville NC 27834-3770
Phone: (252) 752-2140
Fax: (252) 689-6502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01060188A | Indiana |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2020-04712 | North Carolina |
Profile Details
| NPI number | 1699740076 |
|---|---|
| LBN Legal business name | Gividen, Jacqueline K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jan 6th, 2021 - about 3 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 | 1699740076 | NPPES |
| Indiana | Other | 200512950 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 2684317000 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 000000361232 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 000000361232 | MDWISE HOOSIER ALLIANCE |
| Indiana | MEDICAID | 7100082610 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 000000361232 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 000000361232 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 200512950 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | P00265884 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 000000361232 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 000000361232 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 000000361232 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 000000361232 | MDWISE HOOSIER ALLIANCE |
| Indiana | MEDICAID | 200512950 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 50009617 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 129703800 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 129703800 | MDWISE HOOSIER ALLIANCE |
| Indiana | Other | 134960H | MDWISE HOOSIER ALLIANCE |
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