Urban, Jacquelyn D

Urban, Jacquelyn D is an sole proprietor health care provider with primary practice located at 1730 W 25Th St , Cleveland OH 44113-3108. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Urban, Jacquelyn D can be contacted via phone (216) 696-4300.

Contact Information

Primary practice address
1730 W 25Th St Cleveland OH 44113-3108
Phone: (216) 696-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 35049954 Ohio

Profile Details

NPI number 1457308207
LBN Legal business name Urban, Jacquelyn D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457308207 NPPES
Ohio Other P00220796 MEDICARE TRAVELERS RR-GA
Ohio Other 942460636052 MEDICARE TRAVELERS RR-GA
Ohio MEDICAID 0585915 MEDICARE TRAVELERS RR-GA

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