Anderson, Jaclyn

Anderson, Jaclyn is an individual health care provider with primary practice located at 11012 Canyon Rd E Suite #8 Pmb #761, Puyallup WA 98373-4200. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Anderson, Jaclyn can be contacted via phone (253) 279-2721.

Contact Information

Primary practice address
11012 Canyon Rd E Suite #8 Pmb #761 Puyallup WA 98373-4200
Phone: (253) 279-2721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X D1 60133612 Washington

Profile Details

NPI number 1538451067
LBN Legal business name Anderson, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2011
Last updated May 2nd, 2011 - about 14 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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