Chavez, Jacklyn
Chavez, Jacklyn is an individual health care provider with primary practice located at 201 Cedar St Se Ste 304 , Albuquerque NM 87106-4932. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chavez, Jacklyn can be contacted via phone (505) 843-7813.Contact Information
Primary practice address
201 Cedar St Se Ste 304
Albuquerque NM 87106-4932
Phone: (505) 843-7813
Fax: (505) 843-6947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2015-0091 | New Mexico |
Profile Details
| NPI number | 1699149153 |
|---|---|
| LBN Legal business name | Chavez, Jacklyn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2015 |
| Last updated | Nov 20th, 2015 - about 11 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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