Smith, Jacqueline
Smith, Jacqueline is an individual health care provider with primary practice located at 120 Hospital Rd Suite 100, Prince Frederick MD 20678-4022. 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. Smith, Jacqueline can be contacted via phone (410) 414-4846.Contact Information
Primary practice address
120 Hospital Rd Suite 100
Prince Frederick MD 20678-4022
Phone: (410) 414-4846
Fax: (410) 414-4810
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 04457 | Maryland |
Profile Details
NPI number | 1265500300 |
---|---|
LBN Legal business name | Smith, Jacqueline |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2006 |
Last updated | Jun 25th, 2008 - about 16 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 | 1265500300 | NPPES |
Maryland | Other | 606MH211 | MECICARE PROVIDER ID |
Maryland | MEDICAID | 770428300 | MECICARE PROVIDER ID |
Popular Providers
-
Bradley, Tania J
1450 Dares Beach Rd , Prince Frederick MD 20678-4206 -
Shatrowsky, Debra
1305 Dares Beach Rd , Prince Frederick MD 20678-4208 -
Berube, Scott A
130 Hospital Rd Ste 103 , Prince Frederick MD 20678-4029 -
Hartwell, Jill Rippons
1305 Dares Beach Rd , Prince Frederick MD 20678-4208 -
Lummus, Brenda Molinar
130 Hospital Rd Ste 103 , Prince Frederick MD 20678-4029 -
Jensen, Jennifer Lynn
1305 Dares Beach Rd , Prince Frederick MD 20678-4208 -
Wood, Erica
1305 Dares Beach Rd , Prince Frederick MD 20678-4208 -
Hill, Anna Elizabeth
1005 Prince Frederick Blvd Ste 102 , Prince Frederick MD 20678-3195