Monroe, Jacqueline

Monroe, Jacqueline is an individual health care provider with primary practice located at 7559 W Jefferson Blvd , Fort Wayne IN 46804-4131. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Monroe, Jacqueline can be contacted via phone (260) 436-3579.

Contact Information

Primary practice address
7559 W Jefferson Blvd Fort Wayne IN 46804-4131
Phone: (260) 436-3579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.003581 Ohio
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001138A Indiana

Profile Details

NPI number 1912276361
LBN Legal business name Monroe, Jacqueline
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2011
Last updated Jun 12th, 2012 - about 12 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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