Bernhagen, Jacqueline Elise

Bernhagen, Jacqueline Elise is an individual health care provider with primary practice located at 456 C St , Blaine WA 98230-4238. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bernhagen, Jacqueline Elise can be contacted via phone (360) 332-8733.

Contact Information

Primary practice address
456 C St Blaine WA 98230-4238
Fax:
Website:

Profile Details

NPI number 1649947441
LBN Legal business name Bernhagen, Jacqueline Elise
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2021
Last updated Aug 27th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649947441 NPPES
Washington MEDICAID 201847167WA

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