Jacklin, Harold N

Jacklin, Harold N is an individual health care provider with primary practice located at 1014 North Elm Street , Greensboro NC 27401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jacklin, Harold N can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
1014 North Elm Street Greensboro NC 27401
Phone: (336) 716-2255
Fax: (336) 716-7994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 15766 North Carolina

Profile Details

NPI number 1528001625
LBN Legal business name Jacklin, Harold N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 6th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528001625 NPPES
North Carolina MEDICAID 8945505

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