Locklin, Jacob Dewayne

Locklin, Jacob Dewayne is an individual health care provider with primary practice located at 15295 La Alameda Dr Apt 5 , Morgan Hill CA 95037-5718. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Locklin, Jacob Dewayne can be contacted via phone (408) 472-5669.

Contact Information

Primary practice address
15295 La Alameda Dr Apt 5 Morgan Hill CA 95037-5718
Phone: (408) 472-5669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1043703077
LBN Legal business name Locklin, Jacob Dewayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2018
Last updated Jun 13th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043703077 NPPES
California Other SIF648A77083 ANTHEM BLUE CROSS

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