Lake, Jacqueline
Lake, Jacqueline is an individual health care provider with primary practice located at 900 Ship Pond Rd , Plymouth MA 02360-1849. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lake, Jacqueline can be contacted via phone (508) 224-8041.Contact Information
Primary practice address
900 Ship Pond Rd
Plymouth MA 02360-1849
Phone: (508) 224-8041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1124775598 |
|---|---|
| LBN Legal business name | Lake, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2022 |
| Last updated | Mar 7th, 2022 - about 2 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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