Maccorquodale, Jennifer
Maccorquodale, Jennifer is an sole proprietor health care provider with primary practice located at 1626 Oconnell Blvd Bldg 813, Ft Carson CO 80913-4060. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maccorquodale, Jennifer can be contacted via phone (719) 526-9826.Contact Information
Primary practice address
1626 Oconnell Blvd Bldg 813
Ft Carson CO 80913-4060
Phone: (719) 526-9826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 501 | Colorado |
Profile Details
| NPI number | 1659601714 |
|---|---|
| LBN Legal business name | Maccorquodale, Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2010 |
| Last updated | Jan 12th, 2010 - about 14 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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