Schafer, Jacqueline S.
Schafer, Jacqueline S. is an sole proprietor health care provider with primary practice located at 4455 Dartmoore Ln , Suwanee GA 30024-3345. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Schafer, Jacqueline S. can be contacted via phone (678) 463-9223.Contact Information
Primary practice address
4455 Dartmoore Ln
Suwanee GA 30024-3345
Phone: (678) 463-9223
Fax: (678) 807-7792
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 003613 | Georgia |
Profile Details
NPI number | 1578755526 |
---|---|
LBN Legal business name | Schafer, Jacqueline S. |
Credentials | MOT, OTR/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 14th, 2007 |
Last updated | Aug 15th, 2008 - about 17 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 | 1578755526 | NPPES |
Georgia | MEDICAID | 701034403A |
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