Wilcox, Jacqueline

Wilcox, Jacqueline is an individual health care provider with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3810. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wilcox, Jacqueline can be contacted via phone (217) 464-2966.

Contact Information

Primary practice address
1800 E Lake Shore Dr Decatur IL 62521-3810
Phone: (217) 464-2966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.006109 Illinois

Profile Details

NPI number 1316368723
LBN Legal business name Wilcox, Jacqueline
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2014
Last updated Jan 2nd, 2014 - about 11 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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