Thomas, Jacqulyn Rena

Thomas, Jacqulyn Rena is an individual health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. She recently has only one registered license in Nursing Service Providers / Urology, which is considered as her primary health care specialty. Thomas, Jacqulyn Rena can be contacted via phone (260) 426-5431.

Contact Information

Primary practice address
2121 Lake Ave Fort Wayne IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 460-1385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Urology 163WU0100X 28149682A Indiana

Profile Details

NPI number 1316648355
LBN Legal business name Thomas, Jacqulyn Rena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2023
Last updated Mar 16th, 2023 - about last year

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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