Calkin, Jacqueline Marie
Calkin, Jacqueline Marie is an individual health care provider with primary practice located at 2625 Fair Oaks Blvd , Sacramento CA 95864-4936. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Calkin, Jacqueline Marie can be contacted via phone (916) 646-3376.Contact Information
Primary practice address
2625 Fair Oaks Blvd
Sacramento CA 95864-4936
Phone: (916) 646-3376
Fax: (916) 646-3336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G081375 | California |
Profile Details
| NPI number | 1871561589 |
|---|---|
| LBN Legal business name | Calkin, Jacqueline Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 8th, 2023 - about 3 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 | 1871561589 | NPPES |
| California | Other | G081375 | STATE LICENSE |
| California | MEDICAID | GR0098940 | STATE LICENSE |
| California | Other | TAX ID NUMBER | STATE LICENSE |
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