Brown, Jacqueline Marie
Brown, Jacqueline Marie is an individual health care provider with primary practice located at 100 Kendall Dr , Lamar CO 81052-3901. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Brown, Jacqueline Marie can be contacted via phone (716) 366-9154.Contact Information
Primary practice address
100 Kendall Dr
Lamar CO 81052-3901
Phone: (716) 366-9154
Fax: (719) 336-7453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | 72910 | Colorado |
Profile Details
| NPI number | 1659403996 |
|---|---|
| LBN Legal business name | Brown, Jacqueline Marie |
| Credentials | RN,MSN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Sep 25th, 2012 - about 13 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 | 1659403996 | NPPES |
| Colorado | MEDICAID | 07729106 |
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