Tate, Jacqueline Juliet
Tate, Jacqueline Juliet is an sole proprietor health care provider with primary practice located at 2600 Hingham Ln , Columbus OH 43224-3725. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Tate, Jacqueline Juliet can be contacted via phone (614) 800-9748.Contact Information
Primary practice address
2600 Hingham Ln
Columbus OH 43224-3725
Phone: (614) 800-9748
Fax: (614) 934-5732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1982989679 |
|---|---|
| LBN Legal business name | Tate, Jacqueline Juliet |
| Credentials | NON PAR PROVIDER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2011 |
| Last updated | Nov 8th, 2022 - about 2 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 | 1982989679 | NPPES |
| Ohio | MEDICAID | 0053979 | |
| Ohio | Other | 1982989679 |
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