Cividanes, Jacqueline

Cividanes, Jacqueline is an sole proprietor health care provider with primary practice located at 467 Franklin St Athletics Department, Bloomfield NJ 07003-3425. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Cividanes, Jacqueline can be contacted via phone (973) 748-9000.

Contact Information

Primary practice address
467 Franklin St Athletics Department Bloomfield NJ 07003-3425
Phone: (973) 748-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 25MT00192200 New Jersey

Profile Details

NPI number 1922408293
LBN Legal business name Cividanes, Jacqueline
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2014
Last updated Aug 24th, 2014 - about 12 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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