Holubka, Jacquelin
Holubka, Jacquelin is an sole proprietor health care provider with primary practice located at 94 Old Short Hills Rd , Livingston NJ 07039-5672. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Holubka, Jacquelin can be contacted via phone (973) 993-9536.Contact Information
Primary practice address
94 Old Short Hills Rd
Livingston NJ 07039-5672
Phone: (973) 993-9536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06300800 | New Jersey |
Profile Details
| NPI number | 1174577373 |
|---|---|
| LBN Legal business name | Holubka, Jacquelin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Sep 17th, 2008 - about 16 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 | 1174577373 | NPPES |
| New Jersey | MEDICAID | 6887503 |
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