Hamlin, Jaclyn
Hamlin, Jaclyn is an individual health care provider with primary practice located at 25501 Van Dyke Ave Lifeline Psychiatric Services, Center Line MI 48015-1208. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hamlin, Jaclyn can be contacted via phone (586) 755-8911.Contact Information
Primary practice address
25501 Van Dyke Ave Lifeline Psychiatric Services
Center Line MI 48015-1208
Phone: (586) 755-8911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301016375 | Michigan |
Profile Details
| NPI number | 1821460270 |
|---|---|
| LBN Legal business name | Hamlin, Jaclyn |
| Credentials | M.S.C.P, TLLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2015 |
| Last updated | Oct 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821460270 | NPPES |
| Michigan | Other | 13642807 | CAQH |
| Michigan | Other | 630106375 | CAQH |
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