Rodriguez, Jaclyn Beronilla

Rodriguez, Jaclyn Beronilla is an sole proprietor health care provider with primary practice located at 999 Route 73 N Ste 401 , Marlton NJ 08053-1227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Rodriguez, Jaclyn Beronilla can be contacted via phone (800) 321-9999.

Contact Information

Primary practice address
999 Route 73 N Ste 401 Marlton NJ 08053-1227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 25MB11321900 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 25MB11321900 New Jersey

Profile Details

NPI number 1750762027
LBN Legal business name Rodriguez, Jaclyn Beronilla
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2015
Last updated Apr 25th, 2024 - about 5 months 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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