Strader, Jacki L
Strader, Jacki L is an sole proprietor health care provider with primary practice located at 109 Rainier Avenue South Suite C, Eatonville WA 98328-0546. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Strader, Jacki L can be contacted via phone (360) 832-6200.Contact Information
Primary practice address
109 Rainier Avenue South Suite C
Eatonville WA 98328-0546
Phone: (360) 832-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00009325 | Washington |
Profile Details
| NPI number | 1780885392 |
|---|---|
| LBN Legal business name | Strader, Jacki L |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1780885392 | NPPES |
| Washington | Other | 109448 | STATE L&I |
| Washington | Other | 5586ST | STATE L&I |
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