Brown, Jacqueline
Brown, Jacqueline is an individual health care provider with primary practice located at 2205 W Lincoln Ave , Yakima WA 98902-2437. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brown, Jacqueline can be contacted via phone (509) 469-6305.Contact Information
Primary practice address
2205 W Lincoln Ave
Yakima WA 98902-2437
Phone: (509) 469-6305
Fax: (509) 575-3398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 208945 | New York |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD17233 | Rhode Island |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD60959358 | Washington |
Profile Details
| NPI number | 1396729851 |
|---|---|
| LBN Legal business name | Brown, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Mar 2nd, 2021 - about 5 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 | 1396729851 | NPPES |
| New York | MEDICAID | 02129826 |
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