Rachol, Jaime Lyne

Rachol, Jaime Lyne is an individual health care provider with primary practice located at 411 Alabama Ave , League City TX 77573. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Rachol, Jaime Lyne can be contacted via phone (832) 905-1260.

Contact Information

Primary practice address
411 Alabama Ave League City TX 77573
Phone: (832) 905-1260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2102651 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502003509 Michigan

Profile Details

NPI number 1538411095
LBN Legal business name Rachol, Jaime Lyne
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2012
Last updated Sep 4th, 2018 - about 6 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 1538411095 NPPES
Texas MEDICAID 2102651

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