Bandy, Jacqueline Whitaker
Bandy, Jacqueline Whitaker is an sole proprietor health care provider with primary practice located at 3072 Sunset Ave # B , Rocky Mount NC 27804-3647. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Bandy, Jacqueline Whitaker can be contacted via phone (252) 443-4276.Contact Information
Primary practice address
3072 Sunset Ave # B
Rocky Mount NC 27804-3647
Phone: (252) 443-4276
Fax: (252) 443-4014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | HC3572 | North Carolina |
Profile Details
| NPI number | 1043350812 |
|---|---|
| LBN Legal business name | Bandy, Jacqueline Whitaker |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043350812 | NPPES |
| North Carolina | MEDICAID | 6601597 |
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