Bedwell, Jacquelyn
Bedwell, Jacquelyn is an sole proprietor health care provider with primary practice located at Mg886A.4 Dthc Corridor # 8 5801 Army Pentagon, Washington DC 20310-5801. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bedwell, Jacquelyn can be contacted via phone (703) 692-8891.Contact Information
Primary practice address
Mg886A.4 Dthc Corridor # 8 5801 Army Pentagon
Washington DC 20310-5801
Phone: (703) 692-8891
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DX2605 | Maryland |
Profile Details
| NPI number | 1548206147 |
|---|---|
| LBN Legal business name | Bedwell, Jacquelyn |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jul 8th, 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 | 1548206147 | NPPES |
| Other | 931718 | CDR | |
| Other | DX2605 | CDR |
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