Fackler, Jaclyn
Fackler, Jaclyn is an individual health care provider with primary practice located at 3702 S Timberline Rd Ste A , Fort Collins CO 80525-3625. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Fackler, Jaclyn can be contacted via phone (970) 207-9773.Contact Information
Primary practice address
3702 S Timberline Rd Ste A
Fort Collins CO 80525-3625
Phone: (970) 207-9773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DR.0062065 | Colorado |
Profile Details
| NPI number | 1174984801 |
|---|---|
| LBN Legal business name | Fackler, Jaclyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2016 |
| Last updated | Jul 29th, 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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