Odell, Jacqueline Ann
Odell, Jacqueline Ann is an individual health care provider with primary practice located at 9612 270Th St Nw , Stanwood WA 98292-1906. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Odell, Jacqueline Ann can be contacted via phone (360) 629-8043.Contact Information
Primary practice address
9612 270Th St Nw
Stanwood WA 98292-1906
Phone: (360) 629-8043
Fax: (360) 629-8053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002424 | Washington |
Profile Details
| NPI number | 1922097997 |
|---|---|
| LBN Legal business name | Odell, Jacqueline Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Oct 3rd, 2011 - about 13 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 | 1922097997 | NPPES |
| Washington | MEDICAID | 7035843 |
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