Frederick, Jacqueline

Frederick, Jacqueline is an sole proprietor health care provider with primary practice located at 117 Elm St , West Orange NJ 07052-5816. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Frederick, Jacqueline can be contacted via phone (973) 731-4971.

Contact Information

Primary practice address
117 Elm St West Orange NJ 07052-5816
Phone: (973) 731-4971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1568528248
LBN Legal business name Frederick, Jacqueline
Credentials MS RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 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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