Mandile, Jacqueline L
Mandile, Jacqueline L is an individual health care provider with primary practice located at 238 Northampton St , Easthampton MA 01027-1046. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mandile, Jacqueline L can be contacted via phone (413) 529-9300.Contact Information
Primary practice address
238 Northampton St
Easthampton MA 01027-1046
Phone: (413) 529-9300
Fax: (866) 644-0870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4814 | Massachusetts |
Profile Details
| NPI number | 1235427360 |
|---|---|
| LBN Legal business name | Mandile, Jacqueline L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2011 |
| Last updated | Mar 12th, 2024 - about 8 months 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 | 1235427360 | NPPES |
| Massachusetts | MEDICAID | 110089671A |
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