Rodriguez, Jaclyn Beronilla
Rodriguez, Jaclyn Beronilla is an sole proprietor health care provider with primary practice located at 999 Route 73 N Ste 401 , Marlton NJ 08053-1227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Rodriguez, Jaclyn Beronilla can be contacted via phone (800) 321-9999.Contact Information
Primary practice address
999 Route 73 N Ste 401
Marlton NJ 08053-1227
Phone: (800) 321-9999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 25MB11321900 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 25MB11321900 | New Jersey |
Profile Details
| NPI number | 1750762027 |
|---|---|
| LBN Legal business name | Rodriguez, Jaclyn Beronilla |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2015 |
| Last updated | Apr 25th, 2024 - about 2 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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