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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
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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