Chavez, Jaclyn Ann

Chavez, Jaclyn Ann is an sole proprietor health care provider with primary practice located at 3600 Country Club Dr , Lewiston ID 83501-9621. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Chavez, Jaclyn Ann can be contacted via phone (208) 503-2194.

Contact Information

Primary practice address
3600 Country Club Dr Lewiston ID 83501-9621
Phone: (208) 503-2194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-768 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 00004442 Washington

Profile Details

NPI number 1750543930
LBN Legal business name Chavez, Jaclyn Ann
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2008
Last updated Apr 23rd, 2017 - about 8 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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