Quintero, Jacqueline O

Quintero, Jacqueline O is an sole proprietor health care provider with primary practice located at 4758 Longview Run , Decatur GA 30035-6001. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Quintero, Jacqueline O can be contacted via phone (332) 331-2739.

Contact Information

Primary practice address
4758 Longview Run Decatur GA 30035-6001
Phone: (332) 331-2739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 06651 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 06651 New York
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD001467 Georgia

Profile Details

NPI number 1992101075
LBN Legal business name Quintero, Jacqueline O
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2014
Last updated May 2nd, 2022 - about 2 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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