Jacklin, Harold N
Jacklin, Harold N is an individual health care provider with primary practice located at 1014 North Elm Street , Greensboro NC 27401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jacklin, Harold N can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
1014 North Elm Street
Greensboro NC 27401
Phone: (336) 716-2255
Fax: (336) 716-7994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 15766 | North Carolina |
Profile Details
| NPI number | 1528001625 |
|---|---|
| LBN Legal business name | Jacklin, Harold N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 6th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528001625 | NPPES |
| North Carolina | MEDICAID | 8945505 |
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