Vegas, Jacqueline R

Vegas, Jacqueline R is an individual health care provider with primary practice located at 7N The Meadows Shopping Center, Terre Haute IN 47803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Vegas, Jacqueline R can be contacted via phone (812) 237-0211.

Contact Information

Primary practice address
7N The Meadows Shopping Center Terre Haute IN 47803
Phone: (812) 237-0211
Fax: (812) 237-0182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28166214A Indiana

Profile Details

NPI number 1538111000
LBN Legal business name Vegas, Jacqueline R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 27th, 2010 - about 14 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 1538111000 NPPES
Indiana MEDICAID 200314550

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