Kowalski, Jacqueline Louise
Kowalski, Jacqueline Louise is an individual health care provider with primary practice located at 712 Purcell Avenue , Cincinnati OH 45205-2344. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Kowalski, Jacqueline Louise can be contacted via phone (513) 471-9169.Contact Information
Primary practice address
712 Purcell Avenue
Cincinnati OH 45205-2344
Phone: (513) 471-9169
Fax: (513) 251-7922
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 3521 | Ohio |
Profile Details
NPI number | 1508939620 |
---|---|
LBN Legal business name | Kowalski, Jacqueline Louise |
Credentials | ED D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508939620 | NPPES |
Ohio | MEDICAID | 0771795 |
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