Palmer, Jacqueline Renee
Palmer, Jacqueline Renee is an individual health care provider with primary practice located at 245 W Race St , Somerset PA 15501-1922. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Palmer, Jacqueline Renee can be contacted via phone (814) 443-4891.Contact Information
Primary practice address
245 W Race St
Somerset PA 15501-1922
Phone: (814) 443-4891
Fax: (814) 443-6399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1003437674 |
|---|---|
| LBN Legal business name | Palmer, Jacqueline Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2020 |
| Last updated | May 5th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003437674 | NPPES |
| Pennsylvania | MEDICAID | 1558367185 |
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