Dirksen, Jeanne A
Dirksen, Jeanne A is an individual health care provider with primary practice located at 27 Colwell Street , Port Hadlock WA 98339. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dirksen, Jeanne A can be contacted via phone (360) 385-9310.Contact Information
Primary practice address
27 Colwell Street
Port Hadlock WA 98339
Phone: (360) 385-9310
Fax: (360) 379-8826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002165 | Washington |
Profile Details
| NPI number | 1972521672 |
|---|---|
| LBN Legal business name | Dirksen, Jeanne A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Apr 14th, 2008 - about 16 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 | 1972521672 | NPPES |
| Washington | Other | 6147DI | REGENCE BLUE SHIELD |
| Washington | MEDICAID | 8374688 | REGENCE BLUE SHIELD |
| Washington | Other | A002 | REGENCE BLUE SHIELD |
| Washington | Other | G8862188 | REGENCE BLUE SHIELD |
| Washington | Other | 5812580 | REGENCE BLUE SHIELD |
| Washington | Other | P00408657 | REGENCE BLUE SHIELD |
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