Jacklin, Eric Gregory

Jacklin, Eric Gregory is an sole proprietor health care provider with primary practice located at 1789 New Britain Ave , Farmington CT 06032-3317. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jacklin, Eric Gregory can be contacted via phone (860) 754-3507.

Contact Information

Primary practice address
1789 New Britain Ave Farmington CT 06032-3317
Phone: (860) 754-3507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1235725607
LBN Legal business name Jacklin, Eric Gregory
Credentials CAC, ICADC, MS, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2020
Last updated Feb 17th, 2023 - about last year

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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