Kunkle, Jackie Rae
Kunkle, Jackie Rae is an individual health care provider with primary practice located at 8712 One Half E Maringo Dr , Spokane WA 99212-1822. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kunkle, Jackie Rae can be contacted via phone (509) 535-8760.Contact Information
Primary practice address
8712 One Half E Maringo Dr
Spokane WA 99212-1822
Phone: (509) 535-8760
Fax: (509) 325-3919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1508052135 |
|---|---|
| LBN Legal business name | Kunkle, Jackie Rae |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2007 |
| Last updated | Sep 18th, 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 | 1508052135 | NPPES |
| Washington | MEDICAID | 5900014 |
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