Phillips, Jacqueline
Phillips, Jacqueline is an individual health care provider with primary practice located at 1012 E 2Nd St Fl 4 , Duluth MN 55805-2200. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Phillips, Jacqueline can be contacted via phone (218) 249-6526.Contact Information
Primary practice address
1012 E 2Nd St Fl 4
Duluth MN 55805-2200
Phone: (218) 249-6526
Fax: (218) 249-6370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2284 | Minnesota |
Profile Details
| NPI number | 1073912895 |
|---|---|
| LBN Legal business name | Phillips, Jacqueline |
| Credentials | MS, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2014 |
| Last updated | Jun 23rd, 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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