Sugarman, Jacqueline Michelle
Sugarman, Jacqueline Michelle is an individual health care provider with primary practice located at 740 S Limestone , Lexington KY 40536-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Sugarman, Jacqueline Michelle can be contacted via phone (859) 323-5481.Contact Information
Primary practice address
740 S Limestone
Lexington KY 40536-0001
Phone: (859) 323-5481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 27970 | Kentucky |
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | 27970 | Kentucky |
Profile Details
| NPI number | 1619902038 |
|---|---|
| LBN Legal business name | Sugarman, Jacqueline Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Oct 6th, 2015 - about 10 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 | 1619902038 | NPPES |
| Kentucky | MEDICAID | 64279706 |
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