Laine, Jaclyn Maureen
Laine, Jaclyn Maureen is an individual health care provider with primary practice located at 1480 W Lane Ave , Columbus OH 43221-3919. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is her primary health care specialty. Laine, Jaclyn Maureen can be contacted via phone (614) 533-5500.Contact Information
Primary practice address
1480 W Lane Ave
Columbus OH 43221-3919
Phone: (614) 533-5500
Fax: (614) 533-0103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 34.010195 | Ohio |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 34.010195 | Ohio |
Profile Details
| NPI number | 1316146988 |
|---|---|
| LBN Legal business name | Laine, Jaclyn Maureen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Aug 2nd, 2024 - about 2 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 | 1316146988 | NPPES |
| Ohio | MEDICAID | 0061403 |
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