Knutson, Jaclyn Ann

Knutson, Jaclyn Ann is an individual health care provider with primary practice located at 128 Lilly Rd Ne Suite 202, Lacey WA 98506-7400. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Knutson, Jaclyn Ann can be contacted via phone (360) 357-6314.

Contact Information

Primary practice address
128 Lilly Rd Ne Suite 202 Lacey WA 98506-7400
Phone: (360) 357-6314
Fax: (360) 705-3745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X LD60192819 Washington

Profile Details

NPI number 1467658229
LBN Legal business name Knutson, Jaclyn Ann
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Nov 9th, 2015 - about 10 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 1467658229 NPPES
Washington Other LD60192819 WASHINGTON STATE DEPT OF HEALTH

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