Stanley, Jaclyn Brooke

Stanley, Jaclyn Brooke is an individual health care provider with primary practice located at 101 Regent Ct , State College PA 16801-7965. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Stanley, Jaclyn Brooke can be contacted via phone (814) 231-2101.

Contact Information

Primary practice address
101 Regent Ct State College PA 16801-7965
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT002377A Pennsylvania

Profile Details

NPI number 1386682557
LBN Legal business name Stanley, Jaclyn Brooke
Credentials M.S., ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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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