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
Fax: (812) 349-7346
Website:

Health care specialties

SpecialtyCodeLicense #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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