Egan, Jacklyn

Egan, Jacklyn is an individual health care provider with primary practice located at 1149 Sullivan St Ste B , Elmira NY 14901-1670. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Egan, Jacklyn can be contacted via phone (607) 733-7661.

Contact Information

Primary practice address
1149 Sullivan St Ste B Elmira NY 14901-1670
Phone: (607) 733-7661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1093355851
LBN Legal business name Egan, Jacklyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2020
Last updated Jan 9th, 2020 - 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.

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