Cook, Jaclyn

Cook, Jaclyn is an sole proprietor health care provider with primary practice located at 2424 Jody Rae St , Niles MI 49120-7707. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Cook, Jaclyn can be contacted via phone (269) 357-9183.

Contact Information

Primary practice address
2424 Jody Rae St Niles MI 49120-7707
Phone: (269) 357-9183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1427699479
LBN Legal business name Cook, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2019
Last updated Oct 1st, 2019 - about 5 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.

Request for update

Popular Providers