Mirault, Jaclyn
Mirault, Jaclyn is an individual health care provider with primary practice located at 2645 N 3Rd St Fl 4 , Harrisburg PA 17110-2034. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mirault, Jaclyn can be contacted via phone (717) 782-4700.Contact Information
Primary practice address
2645 N 3Rd St Fl 4
Harrisburg PA 17110-2034
Phone: (717) 782-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD467703 | Pennsylvania |
Profile Details
| NPI number | 1558757047 |
|---|---|
| LBN Legal business name | Mirault, Jaclyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2015 |
| Last updated | Nov 29th, 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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