Sorensen, Jacqueline T

Sorensen, Jacqueline T is an individual health care provider with primary practice located at 601 W Michigan St , Orlando FL 32805-6203. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Sorensen, Jacqueline T can be contacted via phone (407) 317-7430.

Contact Information

Primary practice address
601 W Michigan St Orlando FL 32805-6203
Phone: (407) 317-7430
Fax: (407) 648-4150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X SS 000387 Florida

Profile Details

NPI number 1235409087
LBN Legal business name Sorensen, Jacqueline T
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Jan 11th, 2012 - about 14 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 1235409087 NPPES
Florida Other SS 000387 FL LICENSE

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