Scott, Jacqueline
Scott, Jacqueline is an sole proprietor health care provider with primary practice located at 943 W Andrews Ave Ste H , Henderson NC 27536-2562. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Scott, Jacqueline can be contacted via phone (252) 433-0061.Contact Information
Primary practice address
943 W Andrews Ave Ste H
Henderson NC 27536-2562
Phone: (252) 433-0061
Fax: (252) 433-0065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 20802-A | North Carolina |
Profile Details
| NPI number | 1366828923 |
|---|---|
| LBN Legal business name | Scott, Jacqueline |
| Credentials | LCAS-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2015 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366828923 | NPPES |
| North Carolina | MEDICAID | 1366828923 |
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