Rheault, Jacqueline A
Rheault, Jacqueline A is an individual health care provider with primary practice located at 248 Pleasant St Ste 1600, Concord NH 03301-2588. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rheault, Jacqueline A can be contacted via phone (603) 224-2020.Contact Information
Primary practice address
248 Pleasant St Ste 1600
Concord NH 03301-2588
Phone: (603) 224-2020
Fax: (603) 228-0248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0646 | New Hampshire |
Profile Details
| NPI number | 1578564464 |
|---|---|
| LBN Legal business name | Rheault, Jacqueline A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Apr 21st, 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 | 1578564464 | NPPES |
| Other | 410038181 | MEDICARE RR | |
| Other | 0900169YONH01 | MEDICARE RR | |
| MEDICAID | 30010905 | MEDICARE RR | |
| Other | 312992 | MEDICARE RR |
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