Bauer, Jacqueline Renee

Bauer, Jacqueline Renee is an sole proprietor health care provider with primary practice located at 10701 Main Street , Fairfax VA 22030. She recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as her primary health care specialty. Bauer, Jacqueline Renee can be contacted via phone (703) 273-7705.

Contact Information

Primary practice address
10701 Main Street Fairfax VA 22030
Phone: (703) 273-7705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1558863027
LBN Legal business name Bauer, Jacqueline Renee
Credentials MOT, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2018
Last updated Mar 1st, 2018 - about 8 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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