Roggeveen, Jaclyn
Roggeveen, Jaclyn is an individual health care provider with primary practice located at 706 Ridge Rd , Munster IN 46321-1612. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Roggeveen, Jaclyn can be contacted via phone (219) 836-8890.Contact Information
Primary practice address
706 Ridge Rd
Munster IN 46321-1612
Phone: (219) 836-8890
Fax: (219) 836-2344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT21003861 | Indiana |
Profile Details
| NPI number | 1659786614 |
|---|---|
| LBN Legal business name | Roggeveen, Jaclyn |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2014 |
| Last updated | Jun 27th, 2014 - about 11 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 | 1659786614 | NPPES |
| Indiana | Other | MT21003861 | LICENSE NUMBER |
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