Island, Jacquelyn
Island, Jacquelyn is an individual health care provider with primary practice located at 12808 N Black Canyon Hwy , Phoenix AZ 85029-1346. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Island, Jacquelyn can be contacted via phone (615) 778-4066.Contact Information
Primary practice address
12808 N Black Canyon Hwy
Phoenix AZ 85029-1346
Phone: (615) 778-4066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 28020 | Arizona |
Profile Details
| NPI number | 1194849489 |
|---|---|
| LBN Legal business name | Island, Jacquelyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Feb 17th, 2009 - about 15 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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