Squires, Jackie Donceel
Squires, Jackie Donceel is an sole proprietor health care provider with primary practice located at 338 S Walnut St , Bloomington IN 47401-3500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Squires, Jackie Donceel can be contacted via phone (812) 349-7343.Contact Information
Primary practice address
338 S Walnut St
Bloomington IN 47401-3500
Phone: (812) 349-7343
Fax: (812) 349-7346
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 72000030 | Indiana |
Profile Details
NPI number | 1386740215 |
---|---|
LBN Legal business name | Squires, Jackie Donceel |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 16th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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