Jacques, Matthew

Jacques, Matthew is an individual health care provider with primary practice located at 6827 N High St Ste 121 , Worthington OH 43085-2517. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Jacques, Matthew can be contacted via phone (614) 642-3180.

Contact Information

Primary practice address
6827 N High St Ste 121 Worthington OH 43085-2517
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1417491408
LBN Legal business name Jacques, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2016
Last updated Dec 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417491408 NPPES
Ohio Other 81-3875568 MARIN'S HOPE COUNSELING

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