Wilk, Jacqueline Carol

Wilk, Jacqueline Carol is an individual health care provider with primary practice located at 2825 E Barnett Rd , Medford OR 97504-8332. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Wilk, Jacqueline Carol can be contacted via phone (541) 789-4700.

Contact Information

Primary practice address
2825 E Barnett Rd Medford OR 97504-8332
Phone: (541) 789-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD29023 Oregon
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD29023 Oregon

Profile Details

NPI number 1528251840
LBN Legal business name Wilk, Jacqueline Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Jun 10th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528251840 NPPES
Oregon Other MD29023 MEDICAL LICENSE

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