Dodge, Jacqueline Rebel
Dodge, Jacqueline Rebel is an sole proprietor health care provider with primary practice located at 1441 Sachem Pl Suite 4, Charlottesville VA 22901-2555. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dodge, Jacqueline Rebel can be contacted via phone (434) 971-1701.Contact Information
Primary practice address
1441 Sachem Pl Suite 4
Charlottesville VA 22901-2555
Phone: (434) 971-1701
Fax: (434) 963-9206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701000837 | Virginia |
Profile Details
| NPI number | 1447312319 |
|---|---|
| LBN Legal business name | Dodge, Jacqueline Rebel |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 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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