Raque, Jessica L
Raque, Jessica L is an individual health care provider with primary practice located at 2801 New Hartford Rd , Owensboro KY 42303. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Raque, Jessica L can be contacted via phone (270) 926-1336.Contact Information
Primary practice address
2801 New Hartford Rd
Owensboro KY 42303
Phone: (270) 926-1336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 51118 | Kentucky |
Profile Details
| NPI number | 1578838611 |
|---|---|
| LBN Legal business name | Raque, Jessica L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2012 |
| Last updated | Jun 15th, 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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