Halberg, Jennifer Amy
Halberg, Jennifer Amy is an sole proprietor health care provider with primary practice located at 430 E Lauridsen Blvd Ste. 113, Port Angeles WA 98362-7978. 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. Halberg, Jennifer Amy can be contacted via phone (360) 808-4989.Contact Information
Primary practice address
430 E Lauridsen Blvd Ste. 113
Port Angeles WA 98362-7978
Phone: (360) 808-4989
Fax: (360) 452-8079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA7819 | Washington |
Profile Details
| NPI number | 1174689921 |
|---|---|
| LBN Legal business name | Halberg, Jennifer Amy |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174689921 | NPPES |
| Washington | Other | 0202248 | LABOR AND INDUSTRIES |
| Washington | Other | IR5507 | LABOR AND INDUSTRIES |
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