Jaques, Jackie M
Jaques, Jackie M is an sole proprietor health care provider with primary practice located at 1008 Plaza Ter , Kirkwood MO 63122-2449. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jaques, Jackie M can be contacted via phone (314) 909-9809.Contact Information
Primary practice address
1008 Plaza Ter
Kirkwood MO 63122-2449
Phone: (314) 909-9809
Fax: (314) 909-1388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1619266152 |
|---|---|
| LBN Legal business name | Jaques, Jackie M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2011 |
| Last updated | Apr 5th, 2011 - about 15 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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