Lichtenstein, Jaclyn F
Lichtenstein, Jaclyn F is an individual health care provider with primary practice located at 576 Olive St Suite 307 , Eugene OR 97401. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Lichtenstein, Jaclyn F can be contacted via phone (541) 344-7303.Contact Information
Primary practice address
576 Olive St Suite 307
Eugene OR 97401
Phone: (541) 344-7303
Fax: (541) 686-6283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 797 | Oregon |
Profile Details
| NPI number | 1417012287 |
|---|---|
| LBN Legal business name | Lichtenstein, Jaclyn F |
| Credentials | LCSW MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1417012287 | NPPES |
| Oregon | MEDICAID | 037759 |
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