Elliott, Jackelin

Elliott, Jackelin is an sole proprietor health care provider with primary practice located at 1401 Parkmoor Ave Ste 230 , San Jose CA 95126-3407. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Elliott, Jackelin can be contacted via phone (408) 508-7700.

Contact Information

Primary practice address
1401 Parkmoor Ave Ste 230 San Jose CA 95126-3407
Phone: (408) 508-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1104299544
LBN Legal business name Elliott, Jackelin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2015
Last updated Nov 6th, 2015 - about 9 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