Jacques, Nevaeh

Jacques, Nevaeh is an individual health care provider with primary practice located at 1103 Old Town Ln , Cheyenne WY 82009-4353. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jacques, Nevaeh can be contacted via phone (307) 365-4460.

Contact Information

Primary practice address
1103 Old Town Ln Cheyenne WY 82009-4353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1598406050
LBN Legal business name Jacques, Nevaeh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2022
Last updated Apr 11th, 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 1598406050 NPPES
Wyoming MEDICAID 1194382150

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