Carricato, Jaclyn

Carricato, Jaclyn is an individual health care provider with primary practice located at 2000 Connecticut Ave , North Bend OR 97459-2300. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Carricato, Jaclyn can be contacted via phone (631) 291-2498.

Contact Information

Primary practice address
2000 Connecticut Ave North Bend OR 97459-2300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1528423522
LBN Legal business name Carricato, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2015
Last updated Dec 18th, 2015 - about 10 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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