Fernandez, Jacqueline
Fernandez, Jacqueline is an individual health care provider with primary practice located at 2027 Morris Ave , Union NJ 07083. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fernandez, Jacqueline can be contacted via phone (908) 810-9147.Contact Information
Primary practice address
2027 Morris Ave
Union NJ 07083
Phone: (908) 810-9147
Fax: (908) 688-7518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA058703 | New Jersey |
Profile Details
| NPI number | 1982628335 |
|---|---|
| LBN Legal business name | Fernandez, Jacqueline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Dec 17th, 2012 - about 14 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 | 1982628335 | NPPES |
| New Jersey | MEDICAID | 6198805 |
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