Horseman, Jacqueline E

Horseman, Jacqueline E is an individual health care provider with primary practice located at 1050 Ribaut Rd , Beaufort SC 29902-5400. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Horseman, Jacqueline E can be contacted via phone (843) 524-8899.

Contact Information

Primary practice address
1050 Ribaut Rd Beaufort SC 29902-5400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619157815
LBN Legal business name Horseman, Jacqueline E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Dec 13th, 2017 - about 7 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 1619157815 NPPES
South Carolina MEDICAID 190166

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