Williams, Jacqueline Marie

Williams, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 418 S 2Nd St , St Charles IL 60174-2859. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Williams, Jacqueline Marie can be contacted via phone (630) 377-1120.

Contact Information

Primary practice address
418 S 2Nd St St Charles IL 60174-2859
Phone: (630) 377-1120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1013048537
LBN Legal business name Williams, Jacqueline Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
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 1013048537 NPPES
Illinois Other 4582042 BLUE CROSS BLUE SHIELD

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