Selwyn, Jaclyn
Selwyn, Jaclyn is an individual health care provider with primary practice located at 5071 Nw 125Th Ave , Coral Springs FL 33076-3448. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Selwyn, Jaclyn can be contacted via phone (954) 899-6655.Contact Information
Primary practice address
5071 Nw 125Th Ave
Coral Springs FL 33076-3448
Phone: (954) 899-6655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT9750 | Florida |
Profile Details
| NPI number | 1881779171 |
|---|---|
| LBN Legal business name | Selwyn, Jaclyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jan 25th, 2010 - about 15 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 | 1881779171 | NPPES |
| Florida | MEDICAID | 887644400 |
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