Poole, Jacqueline

Poole, Jacqueline is an sole proprietor health care provider with primary practice located at 7500 Mercy Rd , Omaha NE 68124-2319. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / Chronic Disease Hospital, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Poole, Jacqueline can be contacted via phone (402) 398-6940.

Contact Information

Primary practice address
7500 Mercy Rd Omaha NE 68124-2319
Phone: (402) 398-6940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2014021724 Missouri
Hospitals / Chronic Disease Hospital 281P00000X 2011020643 Missouri
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 30812 Nebraska

Profile Details

NPI number 1396033981
LBN Legal business name Poole, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2011
Last updated Dec 12th, 2023 - about last year

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 1396033981 NPPES
Missouri Other 787000018 MEDICARE PTAN

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