Luginbill, Jacklyn Elena

Luginbill, Jacklyn Elena is an sole proprietor health care provider with primary practice located at 18 W 15Th St Apt 206 , Minneapolis MN 55403-2424. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Luginbill, Jacklyn Elena can be contacted via phone (951) 533-2412.

Contact Information

Primary practice address
18 W 15Th St Apt 206 Minneapolis MN 55403-2424
Phone: (951) 533-2412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X A507480700 Minnesota

Profile Details

NPI number 1134639933
LBN Legal business name Luginbill, Jacklyn Elena
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2017
Last updated Jun 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134639933 NPPES
Minnesota Other A405488800 SCOTT COUNTY
Minnesota Other A288173200 SCOTT COUNTY
Minnesota Other A507480700 SCOTT COUNTY

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