Davis, Jacqueline Goings
Davis, Jacqueline Goings is an individual health care provider with primary practice located at 1160 W Broad St Lower Lights Christian Health Center, Columbus OH 43222-1317. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Davis, Jacqueline Goings can be contacted via phone (614) 274-1455.Contact Information
Primary practice address
1160 W Broad St Lower Lights Christian Health Center
Columbus OH 43222-1317
Phone: (614) 274-1455
Fax: (614) 274-2040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3532/403 | Ohio |
Profile Details
| NPI number | 1902885734 |
|---|---|
| LBN Legal business name | Davis, Jacqueline Goings |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Aug 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902885734 | NPPES |
| Ohio | MEDICAID | 0477667 |
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