Owens, Jacqueline A

Owens, Jacqueline A is an individual health care provider with primary practice located at 395 Pleasant Valley Way The Pediatric Group Of West Orange, West Orange NJ 07052-2998. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Owens, Jacqueline A can be contacted via phone (973) 731-6100.

Contact Information

Primary practice address
395 Pleasant Valley Way The Pediatric Group Of West Orange West Orange NJ 07052-2998
Phone: (973) 731-6100
Fax: (973) 731-0612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA057429 New Jersey

Profile Details

NPI number 1811007750
LBN Legal business name Owens, Jacqueline A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 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 1811007750 NPPES
New Jersey MEDICAID 6936806

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