Richard, Jacqueline Nicole

Richard, Jacqueline Nicole is an sole proprietor health care provider with primary practice located at 2140 Saint Vincent St , Philadelphia PA 19149-1333. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Richard, Jacqueline Nicole can be contacted via phone (610) 608-7737.

Contact Information

Primary practice address
2140 Saint Vincent St Philadelphia PA 19149-1333
Phone: (610) 608-7737
Fax: (215) 333-3162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1225262223
LBN Legal business name Richard, Jacqueline Nicole
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2009
Last updated May 6th, 2009 - about 17 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 1225262223 NPPES
Pennsylvania Other 103K00000X HEALTH CARE PROVIDER TAXONOMY CODE SET

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