Bennett, Jackie Marie
Bennett, Jackie Marie is an sole proprietor health care provider with primary practice located at 10508 123Rd Street Ct E , Puyallup WA 98374-2626. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bennett, Jackie Marie can be contacted via phone (253) 209-6276.Contact Information
Primary practice address
10508 123Rd Street Ct E
Puyallup WA 98374-2626
Phone: (253) 209-6276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00022947 | Washington |
Profile Details
| NPI number | 1134412596 |
|---|---|
| LBN Legal business name | Bennett, Jackie Marie |
| Credentials | LMP, CLT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2011 |
| Last updated | May 18th, 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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