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
Fax: (513) 251-7922
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508939620 NPPES
Ohio MEDICAID 0771795

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