Matar, Jacqueline R

Matar, Jacqueline R is an individual health care provider with primary practice located at 701 Bob O Link Dr Suite 120, Lexington KY 40504-3759. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Matar, Jacqueline R can be contacted via phone (859) 277-3737.

Contact Information

Primary practice address
701 Bob O Link Dr Suite 120 Lexington KY 40504-3759
Phone: (859) 277-3737
Fax: (859) 277-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 24630 Kentucky

Profile Details

NPI number 1811998578
LBN Legal business name Matar, Jacqueline R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jan 30th, 2013 - about 13 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 1811998578 NPPES
Kentucky MEDICAID 64246309
Kentucky Other 920006560

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