Bartusch, Jenelle Maureen
Bartusch, Jenelle Maureen is an sole proprietor health care provider with primary practice located at 18407 Pacific Ave S Suite A11, Spanaway WA 98387-8374. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bartusch, Jenelle Maureen can be contacted via phone (253) 847-6000.Contact Information
Primary practice address
18407 Pacific Ave S Suite A11
Spanaway WA 98387-8374
Phone: (253) 847-6000
Fax: (253) 846-2757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Washington |
Profile Details
| NPI number | 1518013051 |
|---|---|
| LBN Legal business name | Bartusch, Jenelle Maureen |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518013051 | NPPES |
| Virginia | Other | 111317 | LABOR AND INDUSTRY |
| Virginia | Other | 539OUH | LABOR AND INDUSTRY |
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