Boucek, Jillian M
Boucek, Jillian M is an sole proprietor health care provider with primary practice located at 19030 108Th Ave Se Ste 1, Renton WA 98055-6425. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Boucek, Jillian M can be contacted via phone (425) 282-5048.Contact Information
Primary practice address
19030 108Th Ave Se Ste 1
Renton WA 98055-6425
Phone: (425) 282-5048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Mechanotherapist | 172M00000X | MA00011013 | Washington |
Profile Details
| NPI number | 1275757197 |
|---|---|
| LBN Legal business name | Boucek, Jillian M |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jan 20th, 2009 - about 15 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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