Haskell, Jacquelyn Nicole

Haskell, Jacquelyn Nicole is an individual health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Haskell, Jacquelyn Nicole can be contacted via phone (510) 428-3000.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A133504 California

Profile Details

NPI number 1760725527
LBN Legal business name Haskell, Jacquelyn Nicole
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2013
Last updated May 8th, 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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