Luckhardt, Jaclyn

Luckhardt, Jaclyn is an sole proprietor health care provider with primary practice located at 37 College Ave , Gorham ME 04038-1032. 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. Luckhardt, Jaclyn can be contacted via phone (603) 845-8427.

Contact Information

Primary practice address
37 College Ave Gorham ME 04038-1032
Phone: (603) 845-8427
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 1184274631
LBN Legal business name Luckhardt, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2019
Last updated Sep 17th, 2019 - about 7 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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