Riely, Jacqueline Herrfeldt
Riely, Jacqueline Herrfeldt is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27514-4220. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Riely, Jacqueline Herrfeldt can be contacted via phone (998) 497-4100.Contact Information
Primary practice address
101 Manning Dr
Chapel Hill NC 27514-4220
Phone: (998) 497-4100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 01054172A | Indiana |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01054172A | Indiana |
Profile Details
NPI number | 1396740510 |
---|---|
LBN Legal business name | Riely, Jacqueline Herrfeldt |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2005 |
Last updated | Nov 1st, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396740510 | NPPES |
Indiana | Other | 000000205353 | BC/BS FACETS |
Indiana | MEDICAID | 200310180A | BC/BS FACETS |
Indiana | Other | 160055355 | BC/BS FACETS |
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