Hall, Jodi Ellen
Hall, Jodi Ellen is an sole proprietor health care provider with primary practice located at 513 E 12Th St , Port Angeles WA 98362-7941. 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. Hall, Jodi Ellen can be contacted via phone (360) 477-1010.Contact Information
Primary practice address
513 E 12Th St
Port Angeles WA 98362-7941
Phone: (360) 477-1010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00021795 | Washington |
Profile Details
| NPI number | 1265596175 |
|---|---|
| LBN Legal business name | Hall, Jodi Ellen |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 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 | 1265596175 | NPPES |
| Washington | Other | 0204983 | L&I # |
| Washington | Other | 911975961-03 | L&I # |
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