Jacklen, Jewelle Ruth
Jacklen, Jewelle Ruth is an sole proprietor health care provider with primary practice located at 11860 Zea St Nw Apt 306 , Coon Rapids MN 55433-6838. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Jacklen, Jewelle Ruth can be contacted via phone (763) 218-5332.Contact Information
Primary practice address
11860 Zea St Nw Apt 306
Coon Rapids MN 55433-6838
Phone: (763) 218-5332
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 3542 | Minnesota |
Profile Details
| NPI number | 1487496402 |
|---|---|
| LBN Legal business name | Jacklen, Jewelle Ruth |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2024 |
| Last updated | Jun 10th, 2024 - about 6 months 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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