Butler, Jacklyn Rose

Butler, Jacklyn Rose is an sole proprietor health care provider with primary practice located at 208 8Th Ave Se , Rochester MN 55904-4638. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Butler, Jacklyn Rose can be contacted via phone (920) 312-4311.

Contact Information

Primary practice address
208 8Th Ave Se Rochester MN 55904-4638
Phone: (920) 312-4311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Minnesota

Profile Details

NPI number 1275189789
LBN Legal business name Butler, Jacklyn Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2019
Last updated Aug 12th, 2019 - about 5 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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