Provider Demographics
NPI:1326743048
Name:HASKELL, JEAN-CHRISTOPHE (LAC)
Entity Type:Individual
Prefix:
First Name:JEAN-CHRISTOPHE
Middle Name:
Last Name:HASKELL
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ENCINITAS ACUPUNCTURE AND MASSAGE C/O JEAN HASKELL
Mailing Address - Street 2:121 W. E ST
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024
Mailing Address - Country:US
Mailing Address - Phone:310-266-5975
Mailing Address - Fax:
Practice Address - Street 1:ENCINITAS ACUPUNCTURE AND MASSAGE C/O JEAN HASKELL
Practice Address - Street 2:121 W. E ST
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:310-266-5975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19146171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist