Smith, Jolene Rose
Smith, Jolene Rose is an sole proprietor health care provider with primary practice located at 1710 19Th Dr Ne , Auburn WA 98002-3467. 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. Smith, Jolene Rose can be contacted via phone (206) 235-3689.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00018366 | Washington |
Profile Details
| NPI number | 1760523880 |
|---|---|
| LBN Legal business name | Smith, Jolene Rose |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jul 24th, 2014 - about 10 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 | 1760523880 | NPPES |
| Washington | Other | L7171549 | AETNA HEALTHCARE |
| Washington | Other | 0190441 | AETNA HEALTHCARE |
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