Jack, Charyl Ladonne Jada

Jack, Charyl Ladonne Jada is an sole proprietor health care provider with primary practice located at 1500 Shorewood Dr , Bremerton WA 98312-2323. 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. Jack, Charyl Ladonne Jada can be contacted via phone (360) 670-9327.

Contact Information

Primary practice address
1500 Shorewood Dr Bremerton WA 98312-2323
Phone: (360) 670-9327
Fax: (360) 343-1902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT60003424 Washington

Profile Details

NPI number 1033386529
LBN Legal business name Jack, Charyl Ladonne Jada
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2008
Last updated Dec 11th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033386529 NPPES
Other 8957ST REGENCE

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