Jacques, Chantal H
Jacques, Chantal H is an individual health care provider with primary practice located at 14337 Newbrook Dr Ste 400 , Chantilly VA 20151-4259. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jacques, Chantal H can be contacted via phone (571) 512-5990.Contact Information
Primary practice address
14337 Newbrook Dr Ste 400
Chantilly VA 20151-4259
Phone: (571) 512-5990
Fax: (571) 512-5989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2009016926 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.010234 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618002953 | Virginia |
Profile Details
| NPI number | 1801025960 |
|---|---|
| LBN Legal business name | Jacques, Chantal H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2009 |
| Last updated | Apr 6th, 2022 - about 3 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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