Riddick, Jacquelyn R

Riddick, Jacquelyn R is an sole proprietor health care provider with primary practice located at 394 Hasbrouck Ave. , Kingston NY 12401. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Other Service Providers / Acupuncturist is her primary health care specialty. Riddick, Jacquelyn R can be contacted via phone (845) 750-4896.

Contact Information

Primary practice address
394 Hasbrouck Ave. Kingston NY 12401
Phone: (845) 750-4896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 25 005208 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 019298-1 New York
Other Service Providers / Acupuncturist 171100000X 005208-1 New York

Profile Details

NPI number 1184043572
LBN Legal business name Riddick, Jacquelyn R
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2014
Last updated Sep 13th, 2023 - 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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