Davis, Jaclyn Marie

Davis, Jaclyn Marie is an individual health care provider with primary practice located at 9 Central Park Place , Homer NY 13077. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Davis, Jaclyn Marie can be contacted via phone (607) 749-1250.

Contact Information

Primary practice address
9 Central Park Place Homer NY 13077
Phone: (607) 749-1250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X New York
Behavioral Health & Social Service Providers / School 103TS0200X 965888151 New York

Profile Details

NPI number 1366190829
LBN Legal business name Davis, Jaclyn Marie
Credentials MA/CAS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2022
Last updated Mar 14th, 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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