Crawford, Jacqueline Janette
Crawford, Jacqueline Janette is an individual health care provider with primary practice located at 1010 32Nd Ave S , Moorhead MN 56560-5001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crawford, Jacqueline Janette can be contacted via phone (218) 233-7524.Contact Information
Primary practice address
1010 32Nd Ave S
Moorhead MN 56560-5001
Phone: (218) 233-7524
Fax: (218) 233-8627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | MN 2508 | Minnesota |
Profile Details
| NPI number | 1831135185 |
|---|---|
| LBN Legal business name | Crawford, Jacqueline Janette |
| Credentials | LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1831135185 | NPPES |
| Minnesota | Other | 116409 | UCARE |
| Minnesota | Other | 1010730 | UCARE |
| Minnesota | Other | 62-24810 | UCARE |
| Minnesota | Other | 7H222CR | UCARE |
| Minnesota | Other | HP23073 | UCARE |
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