Becker, Jacqueline Louise
Becker, Jacqueline Louise is an sole proprietor health care provider with primary practice located at 182 Lakeside Park Dr , Hendersonville TN 37075-4834. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Becker, Jacqueline Louise can be contacted via phone (760) 410-8485.Contact Information
Primary practice address
182 Lakeside Park Dr
Hendersonville TN 37075-4834
Phone: (760) 410-8485
Fax: (760) 593-2689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13988 | Tennessee |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA01322300 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40179 | California |
Profile Details
| NPI number | 1750513677 |
|---|---|
| LBN Legal business name | Becker, Jacqueline Louise |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2009 |
| Last updated | Sep 27th, 2022 - about 4 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 | 1750513677 | NPPES |
| California | MEDICAID | 99999999 | |
| California | MEDICAID | 99999999 |
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