Dix, Jacquelyn Esterday

Dix, Jacquelyn Esterday is an sole proprietor health care provider with primary practice located at 187 Millburn Ave Suite 3, Millburn NJ 07041-1847. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Dix, Jacquelyn Esterday can be contacted via phone (973) 379-1441.

Contact Information

Primary practice address
187 Millburn Ave Suite 3 Millburn NJ 07041-1847
Fax: (973) 379-6120
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA35152 New Jersey

Profile Details

NPI number 1700949526
LBN Legal business name Dix, Jacquelyn Esterday
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 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 1700949526 NPPES
New Jersey MEDICAID 2531402

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