Matacchiera, Jacqueline

Matacchiera, Jacqueline is an sole proprietor health care provider with primary practice located at 420 Boulevard Ste 101 , Mountain Lakes NJ 07046-1733. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Matacchiera, Jacqueline can be contacted via phone (973) 988-0035.

Contact Information

Primary practice address
420 Boulevard Ste 101 Mountain Lakes NJ 07046-1733
Phone: (973) 988-0035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00279900 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00585900 New Jersey

Profile Details

NPI number 1669957080
LBN Legal business name Matacchiera, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2018
Last updated Oct 2nd, 2018 - about 6 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 1669957080 NPPES
Other NONE DO SERVE MEDICAID CLIENTS AS OF YET

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