Haferkorn, Jolene Marie
Haferkorn, Jolene Marie is an sole proprietor health care provider with primary practice located at 506 Grover St Ste 111 , Lynden WA 98264-1960. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Haferkorn, Jolene Marie can be contacted via phone (425) 236-9088.Contact Information
Primary practice address
506 Grover St Ste 111
Lynden WA 98264-1960
Phone: (425) 236-9088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA60788136 | Washington |
Profile Details
| NPI number | 1821502485 |
|---|---|
| LBN Legal business name | Haferkorn, Jolene Marie |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2017 |
| Last updated | Oct 22nd, 2018 - about 7 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 | 1821502485 | NPPES |
| Washington | Other | MA60788136 | WASHINGTON STATE DEPARTMENT OF HEALTH |
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