Brown, Jaclyn M
Brown, Jaclyn M is an individual health care provider with primary practice located at 9951 Mickelberry Rd Nw Ste 123 , Silverdale WA 98383-8309. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Brown, Jaclyn M can be contacted via phone (360) 908-5110.Contact Information
Primary practice address
9951 Mickelberry Rd Nw Ste 123
Silverdale WA 98383-8309
Phone: (360) 908-5110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1805 | Alaska |
| Other Service Providers / Specialist | 174400000X | OT00003236 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00003236 | Washington |
Profile Details
| NPI number | 1972610459 |
|---|---|
| LBN Legal business name | Brown, Jaclyn M |
| Credentials | DROT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Nov 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972610459 | NPPES |
| Washington | Other | 5334RO | REGENCE |
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