Jefferson, Jacqueline

Jefferson, Jacqueline is an individual health care provider with primary practice located at 1900 10Th St , Alamogordo NM 88310-5053. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jefferson, Jacqueline can be contacted via phone (575) 437-7404.

Contact Information

Primary practice address
1900 10Th St Alamogordo NM 88310-5053
Phone: (575) 437-7404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1255887279
LBN Legal business name Jefferson, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2016
Last updated Aug 30th, 2016 - about 10 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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