Hernandez, Jacqueline

Hernandez, Jacqueline is an individual health care provider with primary practice located at 285 Mcclellan St , Perth Amboy NJ 08861-4319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hernandez, Jacqueline can be contacted via phone (732) 719-4333.

Contact Information

Primary practice address
285 Mcclellan St Perth Amboy NJ 08861-4319
Phone: (732) 719-4333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB09124900 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 263560 New York

Profile Details

NPI number 1477780021
LBN Legal business name Hernandez, Jacqueline
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Jun 17th, 2015 - about 11 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 1477780021 NPPES
New Jersey MEDICAID 0083691

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