Bredehoft, Jacqueline D.
Bredehoft, Jacqueline D. is an individual health care provider with primary practice located at 901 Dove St Ste 299 , Newport Beach CA 92660-3036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bredehoft, Jacqueline D. can be contacted via phone (714) 497-3307.Contact Information
Primary practice address
901 Dove St Ste 299
Newport Beach CA 92660-3036
Phone: (714) 497-3307
Fax: (714) 464-4478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN382294 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 14352 | California |
Profile Details
| NPI number | 1316269525 |
|---|---|
| LBN Legal business name | Bredehoft, Jacqueline D. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2010 |
| Last updated | Jan 16th, 2020 - about 6 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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