Gibbons, Jacqueline

Gibbons, Jacqueline is an individual health care provider with primary practice located at 1906 Commercenter E Ste 206 , San Bernardino CA 92408-3424. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Gibbons, Jacqueline can be contacted via phone (909) 567-2935.

Contact Information

Primary practice address
1906 Commercenter E Ste 206 San Bernardino CA 92408-3424
Phone: (909) 567-2935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 5907 California

Profile Details

NPI number 1396468765
LBN Legal business name Gibbons, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2022
Last updated Sep 21st, 2022 - about 4 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 1396468765 NPPES
Other 1457097230 PRIVATE PAY

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