Racine, Jacqueline

Racine, Jacqueline is an individual health care provider with primary practice located at 466 County St , New Bedford MA 02740-5107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Racine, Jacqueline can be contacted via phone (508) 997-0794.

Contact Information

Primary practice address
466 County St New Bedford MA 02740-5107
Phone: (508) 997-0794
Fax: (508) 999-6607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 164433 Massachusetts

Profile Details

NPI number 1780700161
LBN Legal business name Racine, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 17 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 1780700161 NPPES
Massachusetts Other 164433 NP

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