Dancy, Jacqualine J.

Dancy, Jacqualine J. is an individual health care provider with primary practice located at 283 Madonna Rd Suite B, San Luis Obispo CA 93405-5432. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dancy, Jacqualine J. can be contacted via phone (805) 549-8880.

Contact Information

Primary practice address
283 Madonna Rd Suite B San Luis Obispo CA 93405-5432
Phone: (805) 549-8880
Fax: (805) 549-8743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 17046 California

Profile Details

NPI number 1073558748
LBN Legal business name Dancy, Jacqualine J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073558748 NPPES
California Other PA 17046 MEDICAL LICENSE #

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