Iannicca, Jacqueline Rose
Iannicca, Jacqueline Rose is an individual health care provider with primary practice located at 601 Childrens Ln Sports & Adolescent Medicine, Norfolk VA 23507-1910. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Iannicca, Jacqueline Rose can be contacted via phone (757) 668-7850.Contact Information
Primary practice address
601 Childrens Ln Sports & Adolescent Medicine
Norfolk VA 23507-1910
Phone: (757) 668-7850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0126000528 | Virginia |
Profile Details
| NPI number | 1134237811 |
|---|---|
| LBN Legal business name | Iannicca, Jacqueline Rose |
| Credentials | MSED, ATC, CSCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Aug 6th, 2014 - about 11 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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