Martin, Jacqueline

Martin, Jacqueline is an sole proprietor health care provider with primary practice located at 180 W B St Bldg B2, Springfield OR 97477. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Martin, Jacqueline can be contacted via phone (414) 232-6335.

Contact Information

Primary practice address
180 W B St Bldg B2 Springfield OR 97477
Phone: (414) 232-6335
Fax: (541) 299-5685
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508313610
LBN Legal business name Martin, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2016
Last updated May 13th, 2025 - about last year

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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