Hostetler, Jacqueline C
Hostetler, Jacqueline C is an sole proprietor health care provider with primary practice located at 30 Nicklaus Dr Nw , Rome GA 30165-9518. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hostetler, Jacqueline C can be contacted via phone (706) 346-4666.Contact Information
Primary practice address
30 Nicklaus Dr Nw
Rome GA 30165-9518
Phone: (706) 346-4666
Fax: (706) 232-9303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT004490 | Georgia |
Profile Details
| NPI number | 1043361280 |
|---|---|
| LBN Legal business name | Hostetler, Jacqueline C |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Sep 2nd, 2016 - about 8 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 | 1043361280 | NPPES |
| Georgia | MEDICAID | 777866008C |
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