Engelman, Jaclyn Rebecca

Engelman, Jaclyn Rebecca is an individual health care provider with primary practice located at 5929 Whitsett Ave Apt 105 , Valley Village CA 91607-1183. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Engelman, Jaclyn Rebecca can be contacted via phone (818) 300-5439.

Contact Information

Primary practice address
5929 Whitsett Ave Apt 105 Valley Village CA 91607-1183
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV007461-1 New York
Eye and Vision Services Providers / Optometrist 152W00000X 13862 California

Profile Details

NPI number 1225362874
LBN Legal business name Engelman, Jaclyn Rebecca
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2009
Last updated Jan 12th, 2016 - about 8 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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