Bergquam, Jennifer Ruth

Bergquam, Jennifer Ruth is an sole proprietor health care provider with primary practice located at 9623 32Nd St Se , Lake Stevens WA 98258. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bergquam, Jennifer Ruth can be contacted via phone (360) 834-6964.

Contact Information

Primary practice address
9623 32Nd St Se Lake Stevens WA 98258
Phone: (360) 834-6964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 60055734 Washington

Profile Details

NPI number 1437395944
LBN Legal business name Bergquam, Jennifer Ruth
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2009
Last updated Sep 19th, 2014 - about 12 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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