Thobaben, Jaclyn Marie

Thobaben, Jaclyn Marie is an individual health care provider with primary practice located at 1025 Maine St , Quincy IL 62301-4038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thobaben, Jaclyn Marie can be contacted via phone (217) 222-6550.

Contact Information

Primary practice address
1025 Maine St Quincy IL 62301-4038
Phone: (217) 222-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-01743 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005012 Illinois

Profile Details

NPI number 1730329715
LBN Legal business name Thobaben, Jaclyn Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2009
Last updated May 20th, 2014 - about 12 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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