Rosa, Jacqueline

Rosa, Jacqueline is an individual health care provider with primary practice located at 588 Longmeadow St , Longmeadow MA 01106-2212. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Rosa, Jacqueline can be contacted via phone (413) 883-4996.

Contact Information

Primary practice address
588 Longmeadow St Longmeadow MA 01106-2212
Phone: (413) 883-4996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9480 Massachusetts

Profile Details

NPI number 1679206866
LBN Legal business name Rosa, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2022
Last updated Aug 2nd, 2023 - about last year

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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