White, Jacqueline
White, Jacqueline is an sole proprietor health care provider with primary practice located at 2014 Lincolnway E Ste 3 , Goshen IN 46526-6818. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. White, Jacqueline can be contacted via phone (800) 210-0814.Contact Information
Primary practice address
2014 Lincolnway E Ste 3
Goshen IN 46526-6818
Phone: (800) 210-0814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1063148906 |
|---|---|
| LBN Legal business name | White, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2022 |
| Last updated | Jul 25th, 2022 - about 3 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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