Shoot, Jamil Vaughn

Shoot, Jamil Vaughn is an sole proprietor health care provider with primary practice located at 21705 56Th Ave W , Mount Lake Terrace WA 98043. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is his primary health care specialty. Shoot, Jamil Vaughn can be contacted via phone (425) 242-6006.

Contact Information

Primary practice address
21705 56Th Ave W Mount Lake Terrace WA 98043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA60585565 Washington
Other Service Providers / Acupuncturist 171100000X AC60966029 Washington

Profile Details

NPI number 1437709961
LBN Legal business name Shoot, Jamil Vaughn
Credentials EAMP, LAC, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2019
Last updated Sep 17th, 2019 - 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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