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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174577373 NPPES
New Jersey MEDICAID 6887503

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