Parker, Jaclyn Tennille

Parker, Jaclyn Tennille is an sole proprietor health care provider with primary practice located at 200 W Arbor Dr Mail Code 8402, San Diego CA 92103-9001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Parker, Jaclyn Tennille can be contacted via phone (619) 543-6222.

Contact Information

Primary practice address
200 W Arbor Dr Mail Code 8402 San Diego CA 92103-9001
Phone: (619) 543-6222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A94852 California

Profile Details

NPI number 1164683538
LBN Legal business name Parker, Jaclyn Tennille
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2008
Last updated Oct 16th, 2021 - about 5 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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