Scanlan, Jaclyn M
Scanlan, Jaclyn M is an individual health care provider with primary practice located at 5350 Lamme Rd , Moraine OH 45439-3215. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Scanlan, Jaclyn M can be contacted via phone (937) 534-4632.Contact Information
Primary practice address
5350 Lamme Rd
Moraine OH 45439-3215
Phone: (937) 534-4632
Fax: (937) 534-4609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I0800313 | Ohio |
Profile Details
| NPI number | 1700028800 |
|---|---|
| LBN Legal business name | Scanlan, Jaclyn M |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2009 |
| Last updated | Jun 21st, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700028800 | NPPES |
| Ohio | Other | 000000611131 | ANTHEM |
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