Koder, Jaclynn

Koder, Jaclynn is an individual health care provider with primary practice located at 123 S Wells St , Panama City Beach FL 32413-1978. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Koder, Jaclynn can be contacted via phone (850) 775-8313.

Contact Information

Primary practice address
123 S Wells St Panama City Beach FL 32413-1978
Phone: (850) 775-8313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1336516251
LBN Legal business name Koder, Jaclynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 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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