Iverson, Jacqueline

Iverson, Jacqueline is an sole proprietor health care provider with primary practice located at 4400 Stamp Rd Ste 104 , Temple Hills MD 20748-6727. She recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as her primary health care specialty. Iverson, Jacqueline can be contacted via phone (202) 569-2990.

Contact Information

Primary practice address
4400 Stamp Rd Ste 104 Temple Hills MD 20748-6727
Phone: (202) 569-2990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1699202259
LBN Legal business name Iverson, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2017
Last updated Jul 21st, 2022 - about 2 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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