Dr. Alexander Jerold Jacklin
Family Doctor - Adult Medicine
1588 Wedgewood Dr
Hillsborough
, California 94010-7344
Dr. Alexander Jerold Jacklin
Family Doctor - Adult Medicine
1588 Wedgewood Dr
Hillsborough
, California 94010-7344
(650) 579-5771
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Alexander Jerold Jacklin
- 1588 Wedgewood Dr
- Hillsborough, CA
- Zip : 94010-7344
- Phone : (650) 579-5771
Second Address
- Dr. Alexander Jerold Jacklin
- 1588 Wedgewood Dr
- Hillsborough, CA
- Zip : 94010-7344
- Phone : (650) 579-5771
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | A20235 | CA |
National Provider Identifier
| NPI | 1306983820 |
|---|---|
| Provider Name | Dr. Alexander Jerold Jacklin |
| First Address | Hillsborough, CA 94010-7344 |
| Second Address | Hillsborough, CA 94010-7344 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G22267 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.