Hernandez, Jaquelin
Hernandez, Jaquelin is an sole proprietor health care provider with primary practice located at 120 W Jackson St , Shelbyville IN 46176-1295. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hernandez, Jaquelin can be contacted via phone (317) 512-2101.Contact Information
Primary practice address
120 W Jackson St
Shelbyville IN 46176-1295
Phone: (317) 512-2101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1417731183 |
|---|---|
| LBN Legal business name | Hernandez, Jaquelin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2023 |
| Last updated | Aug 23rd, 2023 - about 2 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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