Poulos, Jacqueline Rochelle

Poulos, Jacqueline Rochelle is an sole proprietor health care provider with primary practice located at 1100 N San Francisco St Suite A, Flagstaff AZ 86001-3260. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Poulos, Jacqueline Rochelle can be contacted via phone (928) 774-1332.

Contact Information

Primary practice address
1100 N San Francisco St Suite A Flagstaff AZ 86001-3260
Phone: (928) 774-1332
Fax: (928) 774-0042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 11-1272 Arizona

Profile Details

NPI number 1336418623
LBN Legal business name Poulos, Jacqueline Rochelle
Credentials N.M.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2011
Last updated Dec 4th, 2015 - about 9 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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